| Entity Name: | ABC KID'S PEDIATRICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 12 Mar 2015 (10 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L15000045345 |
| FEI/EIN Number | 47-3409225 |
| Address: | 333 ARTHUR GODFREY ROAD, SUITE 514, MIAMI BEACH, FL 33140 |
| Mail Address: | 333 ARTHUR GODFREY ROAD, SUITE 514, MIAMI BEACH, FL 33140 |
| ZIP code: | 33140 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497138952 | 2015-07-02 | 2016-07-06 | 333 ARTHUR GODFREY RD, SUITE 514, MIAMI, FL, 331403641, US | 333 ARTHUR GODFREY RD, SUITE 514, MIAMI, FL, 331403641, US | |||||||||||||||||||||||||
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| Phone | +1 786-802-2089 |
| Fax | 7868022091 |
Authorized person
| Name | RONIT KESSOUS |
| Role | OWNER |
| Phone | 7868022089 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME94530 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 277451800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REVO, LIVIA | Agent | 25 SE SECOND AVENUE, 700, MIAMI, FL 33131 |
| Name | Role | Address |
|---|---|---|
| ABC HOLDING TRUST | Authorized Member | 333 ARTHUR GODFREY RD, 514 MIAMI BEACH, FL 33140 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-13 | REVO, LIVIA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-10-13 | 25 SE SECOND AVENUE, 700, MIAMI, FL 33131 | No data |
| REINSTATEMENT | 2016-10-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-09-29 | 333 ARTHUR GODFREY ROAD, SUITE 514, MIAMI BEACH, FL 33140 | No data |
| CHANGE OF MAILING ADDRESS | 2015-09-29 | 333 ARTHUR GODFREY ROAD, SUITE 514, MIAMI BEACH, FL 33140 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2016-10-13 |
| Florida Limited Liability | 2015-03-12 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
