Entity Name: | PENINSULA PEDIATRICS OF WEST FLORIDA, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
PENINSULA PEDIATRICS OF WEST FLORIDA, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
Date Filed: | 30 Sep 2015 (9 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 13 Oct 2016 (8 years ago) |
Document Number: | L15000166683 |
FEI/EIN Number |
81-1183199
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 13163 66th Street N, LARGO, FL, 33773, US |
Mail Address: | 13163 66th Street N, LARGO, FL, 33773, US |
ZIP code: | 33773 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1639538713 | 2016-02-17 | 2023-06-05 | 13163 66TH STREET, LARGO, FL, 33773, US | 13163 66TH STREET, LARGO, FL, 33773, US | |||||||||||||||||||||||||
|
Phone | +1 727-228-7000 |
Fax | 7272233614 |
Authorized person
Name | DR. STEVEN MICHAEL MOORE |
Role | OWNER |
Phone | 7272287000 |
Taxonomy
Taxonomy Code | 208000000X - Pediatrics Physician |
License Number | ME 100692 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 018367100 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
PENINSULA PEDIATRICS OF WEST FLORIDA 401(K) PROFIT SHARING PLAN | 2023 | 811183199 | 2024-08-15 | PENINSULA PEDIATRICS OF WEST FLORIDA, PLLC | 10 | |||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2024-08-15 |
Name of individual signing | STEVEN MOORE |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 002 |
Effective date of plan | 2022-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 7272287000 |
Plan sponsor’s address | 13131 66TH STREET NORTH, LARGO, FL, 33773 |
Signature of
Role | Plan administrator |
Date | 2023-10-05 |
Name of individual signing | STEVEN MOORE |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
MOORE STEVEN MMD | Manager | 107 PALMETTO LN, LARGO, FL, 33770 |
MOORE STEVEN M | Agent | 107 PALMETTO LN, LARGO, FL, 33770 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G16000007945 | PENINSULA PEDIATRICS | ACTIVE | 2016-01-21 | 2026-12-31 | - | 107 PALMETTO LANE, LARGO, FL, 33770 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-02-01 | 13163 66th Street N, LARGO, FL 33773 | - |
CHANGE OF MAILING ADDRESS | 2023-02-01 | 13163 66th Street N, LARGO, FL 33773 | - |
REINSTATEMENT | 2016-10-13 | - | - |
REGISTERED AGENT NAME CHANGED | 2016-10-13 | MOORE, STEVEN M | - |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-11 |
ANNUAL REPORT | 2023-02-01 |
ANNUAL REPORT | 2022-05-18 |
ANNUAL REPORT | 2021-04-07 |
ANNUAL REPORT | 2020-05-14 |
ANNUAL REPORT | 2019-04-21 |
ANNUAL REPORT | 2018-04-21 |
ANNUAL REPORT | 2017-03-12 |
REINSTATEMENT | 2016-10-13 |
Florida Limited Liability | 2015-09-30 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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2863227202 | 2020-04-16 | 0455 | PPP | 13131 66th Street North N/A, LARGO, FL, 33771 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State