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CAPERNAUM MEDICAL CENTER FOR KIDS PLLC - Florida Company Profile

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Company Details

Entity Name: CAPERNAUM MEDICAL CENTER FOR KIDS PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

CAPERNAUM MEDICAL CENTER FOR KIDS 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 14 Oct 2016 (9 years ago)
Document Number: L16000190547
FEI/EIN Number 38-4016915

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2024 Edgewood Dr S, LAKELAND, FL, 33803, US
Mail Address: 2024 Edgewood Dr S, LAKELAND, FL, 33803, US
ZIP code: 33803
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VERNIER ERIC R Manager 2024 Edgewood Dr S, LAKELAND, FL, 33803
Vernier Eric Manager 2024 Edgewood Dr S, LAKELAND, FL, 33803
VERNIER ERIC R Agent 2024 Edgewood Dr S, LAKELAND, FL, 33803

National Provider Identifier

NPI Number:
1518432038

Authorized Person:

Name:
ERIC ROBERTO VERNIER
Role:
MD/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8633375728

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000102348 CAPERNAUM MEDICAL CENTER FOR KIDS TAMPA, HOUSE OF ANDREW EXPIRED 2018-09-17 2023-12-31 - 5129 S. LAKELAND DRIVE, UNIT 2, LAKELAND, FL, 33813
G18000102354 CAPERNAUM MEDICAL CENTER FOR KIDS LAKELAND, HOUSE OF JOHN EXPIRED 2018-09-17 2023-12-31 - 5129 S. LAKELAND DRIVE, UNIT 2, LAKELAND, FL, 33813
G18000102355 CAPERNAUM MEDICAL CENTER FOR KIDS KISSIMMEE, HOUSE OF JAMES EXPIRED 2018-09-17 2023-12-31 - 5129 S. LAKELAND DRIVE, UNIT 2, LAKELAND, FL, 33813
G16000114757 CAPERNAUM KIDS LAKELAND ACTIVE 2016-10-21 2026-12-31 - 5129 SOUTH LAKELAND DRIVE, UNIT 2, LAKELAND, FL, 33813

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-03-01 2024 Edgewood Dr S, LAKELAND, FL 33803 -
CHANGE OF MAILING ADDRESS 2023-03-01 2024 Edgewood Dr S, LAKELAND, FL 33803 -
REGISTERED AGENT ADDRESS CHANGED 2023-03-01 2024 Edgewood Dr S, LAKELAND, FL 33803 -

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-03-18
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-06-28
ANNUAL REPORT 2017-04-09
Florida Limited Liability 2016-10-14

USAspending Awards / Financial Assistance

Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
208800.00
Total Face Value Of Loan:
208800.00

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Date of last update: 03 Jun 2025

Sources: Florida Department of State