| Entity Name: | PEDIATRIC CENTER FOR EXCELLENCE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PEDIATRIC CENTER FOR EXCELLENCE, LLC 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 19 Dec 2016 (8 years ago) |
| Date of dissolution: | 01 Apr 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Apr 2022 (3 years ago) |
| Document Number: | L16000228721 |
| FEI/EIN Number |
APPLIED FOR
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4160 Boulevard Center Drive, Jacksonville, FL, 32207, US |
| Mail Address: | 4160 Boulevard Center Drive, Jacksonville, FL, 32207, US |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215434980 | 2018-04-10 | 2018-04-10 | 13241 BARTRAM PARK BLVD UNIT 209, JACKSONVILLE, FL, 322585233, US | 13241 BARTRAM PARK BLVD UNIT 209, JACKSONVILLE, FL, 322585233, US | |||||||||||||||||||||||
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| Phone | +1 904-224-5437 |
| Fax | 9046742313 |
Authorized person
| Name | ASHRAF A AFFAN |
| Role | OWNER |
| Phone | 9042245437 |
Taxonomy
| Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| AFFAN ASHRAF M.D. | Manager | 4160 Boulevard Center Drive, Jacksonville, FL, 32207 |
| GHANDOUR AZZA | Manager | 4160 Boulevard Center Drive, Jacksonville, FL, 32207 |
| Affan Ashraf | Agent | 4160 Boulevard Center Drive, Jacksonville, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-01 | - | - |
| REGISTERED AGENT NAME CHANGED | 2021-05-27 | Affan, Ashraf | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-05-27 | 4160 Boulevard Center Drive, Jacksonville, FL 32207 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-30 | 4160 Boulevard Center Drive, Jacksonville, FL 32207 | - |
| CHANGE OF MAILING ADDRESS | 2020-04-30 | 4160 Boulevard Center Drive, Jacksonville, FL 32207 | - |
| LC AMENDMENT AND NAME CHANGE | 2018-03-21 | PEDIATRIC CENTER FOR EXCELLENCE, LLC | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-01 |
| AMENDED ANNUAL REPORT | 2021-05-27 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-03-24 |
| LC Amendment and Name Change | 2018-03-21 |
| ANNUAL REPORT | 2017-04-02 |
| Florida Limited Liability | 2016-12-19 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
