| Entity Name: | ADVANCED CARE PEDIATRICS OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Dec 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 17 Jan 2022 (3 years ago) |
| Document Number: | L17000256094 |
| FEI/EIN Number | 36-4887790 |
| Address: | 3451 S.W. DARWIN BLVD, PORT ST. LUCIE, FL 34953 |
| Mail Address: | 3525 PIEDMONT RD NE BLDG 5 STE 620, ATLANTA, GA 30305 |
| ZIP code: | 34953 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437980851 | 2024-08-08 | 2024-08-08 | 3451 SW DARWIN BLVD, PORT SAINT LUCIE, FL, 349533873, US | 2020 FLAMINGO DR, BARTOW, FL, 338304262, US | |||||||||||||
|
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| Phone | +1 772-321-1963 |
Authorized person
| Name | CRISTOL THERIEN-DOUGLAS |
| Role | REGIONAL PPEC ADMINISTRATOR |
| Phone | 7724089588 |
Taxonomy
| Taxonomy Code | 261QM3000X - Medically Fragile Infants and Children Day Care |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Therien-Douglas, Cristol | Agent | 3451 SW DARWIN BLVD, PORT ST LUCIE, FL 34953 |
| Name | Role | Address |
|---|---|---|
| Blair, Frank | Chief Executive Officer | 3525 PIEDMONT RD NE, Bldg 5 Ste 620 ATLANTA, GA 30305 |
| Name | Role | Address |
|---|---|---|
| Serrano, Daniel | Chief Financial Officer | 3525 PIEDMONT RD NE BLDG 5 STE 620, ATLANTA, GA 30305 |
| Name | Role | Address |
|---|---|---|
| Therien-Douglas, Cristol | Regional Administrator PPEC | 3451 S.W. DARWIN BLVD, PORT ST. LUCIE, FL 34953 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000075078 | ADVANCED CARE PARTNERS, BARTOW | ACTIVE | 2024-06-18 | 2029-12-31 | No data | 3525 PIEDMONT RD NE, ATLANTA, FL, 30305 |
| G24000075075 | ADVANCED CARE PARTNERS, NEW PORT RICHEY | ACTIVE | 2024-06-18 | 2029-12-31 | No data | 3525 PIEDMONT RD NE, ATLANTA, GA, 30305 |
| G23000088149 | ADVANCED CARE PARTNERS, JACKSONVILLE | ACTIVE | 2023-07-27 | 2028-12-31 | No data | 3525 PIEDMONT RD NE, SUITE 620 BLDG 5, ATLANTA, GA, 30305 |
| G23000004269 | ADVANCED CARE PARTNERS, FORT PIERCE | ACTIVE | 2023-01-10 | 2028-12-31 | No data | 2401 FRIST BLVD SUITE 9, FORT PIERCE, FL, 34950 |
| G22000095228 | ADVANCED CARE PARTNERS, TITUSVILLE | ACTIVE | 2022-08-12 | 2027-12-31 | No data | 5670 S WASHINGTON AVE, TITUSVILLE, FL, 32780 |
| G22000095237 | ADVANCED CARE PARTNERS, PORT ST LUCIE | ACTIVE | 2022-08-12 | 2027-12-31 | No data | 3451 SW DARWIN BLVD, PORT ST LUCIE, FL, 34953 |
| G22000035941 | ADVANCED CARE PARTNERS, PORT ST LUCIE | ACTIVE | 2022-03-19 | 2027-12-31 | No data | 3451 SW DARWIN BLVD, PORT ST LUCIE, FL, 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-02-21 | 3451 S.W. DARWIN BLVD, PORT ST. LUCIE, FL 34953 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-05 | Therien-Douglas, Cristol | No data |
| REINSTATEMENT | 2022-01-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-03 | 3451 SW DARWIN BLVD, PORT ST LUCIE, FL 34953 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-10 | 3451 S.W. DARWIN BLVD, PORT ST. LUCIE, FL 34953 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-01-15 |
| AMENDED ANNUAL REPORT | 2023-08-28 |
| AMENDED ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2023-01-03 |
| REINSTATEMENT | 2022-01-17 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-02 |
| Florida Limited Liability | 2017-12-15 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
