| Entity Name: | STARUS PEDIATRICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 Jul 2016 (9 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: | L16000134040 |
| Address: | 6001 VINELAND ROAD, STE 103, ORLANDO, FL 32819 |
| Mail Address: | 6001 VINELAND ROAD, STE 103, ORLANDO, FL 32819 |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609320837 | 2016-08-04 | 2016-08-04 | 6001 VINELAND RD STE 103, ORLANDO, FL, 328197829, US | 6001 VINELAND RD STE 103, ORLANDO, FL, 328197829, US | |||||||||||||||||||||||||
|
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| Phone | +1 407-483-8814 |
| Fax | 4079786507 |
Authorized person
| Name | DR. EDEL VALDES |
| Role | OWNER |
| Phone | 4074838814 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ACN437 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004787100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MEMON, ZAHID | Agent | 1962 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741 |
| Name | Role | Address |
|---|---|---|
| VALDES, EDEL | Manager | 6001 VINELAND ROAD STE 103, ORLANDO, FL 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2016-07-19 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
