| Entity Name: | SPECIALIZED PEDIATRIC CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Jul 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 12 Sep 2024 (5 months ago) |
| Document Number: | L17000146161 |
| FEI/EIN Number | 82-2088188 |
| Address: | 1601 NW 13 CT, MIAMI, FL, 33125, US |
| Mail Address: | 1601 NW 13 CT, MIAMI, FL, 33125, US |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962984211 | 2018-09-04 | 2018-09-04 | 1601 NW 13TH CT, MIAMI, FL, 331251607, US | 1601 NW 13TH CT, MIAMI, FL, 331251607, US | |||||||||||||
|
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| Phone | +1 305-545-2119 |
Authorized person
| Name | DANIEL ALBERTO CIFUENTES |
| Role | PRESIDENT |
| Phone | 3055452119 |
Taxonomy
| Taxonomy Code | 3140N1450X - Pediatric Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CIFUENTES TERESITA D | Agent | 1601 NW 13 CT, MIAMI, FL, 33125 |
| Name | Role | Address |
|---|---|---|
| CIFUENTES TERESITA D | Manager | 1601 NW 13 CT, MIAMI, FL, 33125 |
| ALMARALL CLARA M | Manager | 3650 NW 36 STREET APT 104, MIAMI, FL, 33142 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ EDWARD | Authorized Member | 1601 NW 13 COURT, MIAMI, FL, 33125 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000059050 | SPECIALIZED EXTENDED CARE | EXPIRED | 2019-05-17 | 2024-12-31 | No data | 1601 NW 13TH CT, MIAMI, FL, 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-09-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-05-09 | CIFUENTES, TERESITA D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-18 | 1601 NW 13 CT, MIAMI, FL 33125 | No data |
| LC AMENDMENT | 2018-10-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-10-03 | 1601 NW 13 CT, MIAMI, FL 33125 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-21 | 1601 NW 13 CT, MIAMI, FL 33125 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| LC Amendment | 2024-09-12 |
| ANNUAL REPORT | 2024-01-31 |
| AMENDED ANNUAL REPORT | 2023-05-09 |
| ANNUAL REPORT | 2023-01-23 |
| AMENDED ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-03-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
