| Entity Name: | OPTIMAL CARE PEDIATRICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Nov 2017 (7 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 19 Dec 2017 (7 years ago) |
| Document Number: | L17000232006 |
| FEI/EIN Number | 82-3394040 |
| Address: | 150 SW CHAMBER CT., STE 101, PORT ST. LUCIE, FL 34986 |
| Mail Address: | PO BOX 880364, PORT ST. LUCIE, FL 34988 |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861909384 | 2018-01-05 | 2018-08-17 | 150 SW CHAMBER CT STE 101, PORT SAINT LUCIE, FL, 349863413, US | 150 SW CHAMBER CT STE 101, PORT SAINT LUCIE, FL, 34986, US | |||||||||||||||||
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| Phone | +1 772-301-0123 |
Authorized person
| Name | MONIQUE MONDESIR |
| Role | OWNER |
| Phone | 7723010123 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME115811 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OPTIMAL CARE PEDIATRICS 401(K) PLAN | 2023 | 823394040 | 2024-05-21 | OPTIMAL CARE PEDIATRICS LLC | 0 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-21 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MONDESIR, MONIQUE M, MD | Agent | 150 SW CHAMBER CT., STE 101, PORT ST. LUCIE, FL 34986 |
| Name | Role | Address |
|---|---|---|
| MONDESIR, MONIQUE M, MD | Authorized Member | 1370 NE Langford Ln, Jensen Beach, FL 34957 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000137378 | OPTIMAL CARE FAMILY HEALTH | ACTIVE | 2024-11-10 | 2029-12-31 | No data | PO BOX 880364, PORT ST LUCIE, FL, 34988 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2017-12-19 | OPTIMAL CARE PEDIATRICS LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-12-19 | 150 SW CHAMBER CT., STE 101, PORT ST. LUCIE, FL 34986 | No data |
| LC AMENDMENT AND NAME CHANGE | 2017-12-12 | OPTIMAL CARE PEDIATRICS PLLC | No data |
| CHANGE OF MAILING ADDRESS | 2017-12-12 | 150 SW CHAMBER CT., STE 101, PORT ST. LUCIE, FL 34986 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-12-12 | 150 SW CHAMBER CT., STE 101, PORT ST. LUCIE, FL 34986 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-03-25 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-02-14 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-04-06 |
| LC Amendment and Name Change | 2017-12-19 |
| LC Amendment and Name Change | 2017-12-12 |
| Florida Limited Liability | 2017-11-09 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
