| Entity Name: | BEE WELL PEDIATRICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Apr 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Sep 2023 (a year ago) |
| Document Number: | L15000068387 |
| FEI/EIN Number | 47-3788166 |
| Mail Address: | 1805 SW AMARILLO LANE, PALM CITY, FL 34990 |
| Address: | 1721 Sw Gatlin Blvd, PORT ST LUCIE, FL 34953 |
| ZIP code: | 34953 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023489630 | 2015-10-08 | 2015-12-10 | PO BOX 880313, PORT ST LUCIE, FL, 349880313, US | 10521 SW VILLAGE CENTER DR, 101-A, PORT ST LUCIE, FL, 349871930, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 772-873-7114 |
| Fax | 7728737115 |
Authorized person
| Name | DR. VERONICA D ESPINOZA |
| Role | OWNER |
| Phone | 7722369860 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME93497 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 281166900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ESPINOZA, VERONICA | Agent | 1805 SW AMARILLO LANE, PALM CITY, FL 34990 |
| Name | Role | Address |
|---|---|---|
| Espinoza, Veronica | Member | 1805 Southwest Amarillo, lane 201 Palm City, FL 34990 |
| Name | Role | Address |
|---|---|---|
| Espinoza, Veronica | Manager | 1805 Southwest Amarillo, lane 201 Palm City, FL 34990 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000095103 | BEE WELL PEDIATRICS | EXPIRED | 2015-09-16 | 2020-12-31 | No data | 10521 SW VILLAGE CENTRE DR, PORT SAINT LUCIE, FL, 34987 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-11 | 1721 Sw Gatlin Blvd, PORT ST LUCIE, FL 34953 | No data |
| REINSTATEMENT | 2023-09-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-09-29 | ESPINOZA, VERONICA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-10 | 1805 SW AMARILLO LANE, PALM CITY, FL 34990 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-01-11 |
| REINSTATEMENT | 2023-09-29 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-03-06 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-02-10 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
