| Entity Name: | FLIP FLOPS AND LOLLIPOPS PEDIATRICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Feb 2017 (8 years ago) |
| Document Number: | L17000044073 |
| FEI/EIN Number | 82-0710677 |
| Address: | 22455 Flora Parke Xing, FERNANDINA BEACH, FL, 32034, US |
| Mail Address: | 22455 Flora Parke Xing, FERNANDINA BEACH, FL, 32034, US |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013443423 | 2017-05-04 | 2021-08-20 | 22455 FLORA PARKE XING, FERNANDINA BEACH, FL, 320348000, US | 22455 FLORA PARKE XING, FERNANDINA BEACH, FL, 320348000, US | |||||||||||||||||||||||||||
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| Phone | +1 904-572-1884 |
| Fax | 9044911118 |
Authorized person
| Name | DR. LERA LIV FINA |
| Role | PEDIATRICIAN |
| Phone | 9045721884 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | OS 10686 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 66488 |
| State | GA |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FINA JUSTIN R | Agent | 22455 Flora Parke Xing, FERNANDINA BEACH, FL, 32034 |
| Name | Role | Address |
|---|---|---|
| FINA LERA LDO | Authorized Representative | 22455 Flora Parke Xing, FERNANDINA BEACH, FL, 32034 |
| FINA JUSTIN R | Authorized Representative | 22455 Flora Parke Xing, FERNANDINA BEACH, FL, 32034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 22455 Flora Parke Xing, FERNANDINA BEACH, FL 32034 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-21 | 22455 Flora Parke Xing, FERNANDINA BEACH, FL 32034 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-22 | 22455 Flora Parke Xing, FERNANDINA BEACH, FL 32034 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-03-14 |
| Florida Limited Liability | 2017-02-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
