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CSI-PEDIATRIC SERVICES, LLC - Florida Company Profile

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Company Details

Entity Name: CSI-PEDIATRIC SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 May 2018 (7 years ago)
Last Event: LC AMENDED AND RESTATED ARTICLES
Event Date Filed: 01 Aug 2023 (2 years ago)
Document Number: L18000131735
FEI/EIN Number 274314132
Address: 15050 NW 79TH CT, MIAMI LAKES, FL, 33016, US
Mail Address: 15050 NW 79TH CT, MIAMI LAKES, FL, 33016, US
ZIP code: 33016
City: Hialeah
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Authorized Member -
- Agent -
LANE JONATHAN Manager 15050 NW 79TH CT #201, MIAMI LAKES, FL, 33016
CWIERTNIA DAVID Manager 15050 NW 79TH CT #201, MIAMI LAKES, FL, 33016
Jeff Soffen Manager 15050 NW 79TH CT, MIAMI LAKES, FL, 33016

National Provider Identifier

NPI Number:
1659872760
Certification Date:
2022-07-13
Link:
View on NPI website

Authorized Person:

Name:
DONNA LODATO
Role:
CEO
Phone:
7865229600

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 786-522-9600
Phone:
+1 954-947-3100
Fax:
9549337576

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000022174 SPARK PEDIATRICS ACTIVE 2025-02-13 2030-12-31 - 15050 NW 79TH CT, SUITE 201, MIAMI LAKES, FL, 33016
G24000035159 SPARK PEDIATRICS ACTIVE 2024-03-08 2029-12-31 - 15050 NW 79TH COURT SUITE 201, MIAMI LAKES, FL, 33016
G18000128464 SPARK PEDIATRICS EXPIRED 2018-12-05 2023-12-31 - 10451 NW 117TH AVE, STE 110, MIAMI, FL, 33178

Events

Event Type Filed Date Value Description
LC AMENDED AND RESTATED ARTICLES 2023-08-01 - -
REGISTERED AGENT NAME CHANGED 2021-10-04 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2021-10-04 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 -
LC AMENDMENT 2021-10-04 - -
CHANGE OF PRINCIPAL ADDRESS 2019-04-08 15050 NW 79TH CT, SUITE 201, MIAMI LAKES, FL 33016 -
CHANGE OF MAILING ADDRESS 2019-04-08 15050 NW 79TH CT, SUITE 201, MIAMI LAKES, FL 33016 -
LC STMNT OF RA/RO CHG 2018-06-06 - -
CONVERSION 2018-05-25 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P10000100861. CONVERSION NUMBER 500000182245

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J23000175919 ACTIVE 2021-023885-CA-01 11TH JUDICIAL CIRCUIT COURT 2022-09-06 2028-04-20 $108,395.31 JIMMY TERCERO-LOPEZ, C/O LAW GUARD, 8050 N UNIVERSITY DR, SUITE 209, TAMARAC, FL 33321

Documents

Name Date
ANNUAL REPORT 2024-03-29
LC Amended and Restated Art 2023-08-01
ANNUAL REPORT 2023-05-30
ANNUAL REPORT 2022-04-07
LC Amendment 2021-10-04
ANNUAL REPORT 2021-05-28
ANNUAL REPORT 2020-06-22
ANNUAL REPORT 2019-04-08
CORLCRACHG 2018-06-06
Florida Limited Liability 2018-05-25

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15050 NW 79TH CT, MIAMI LAKES, FL, 33016, US

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CSI-BEHAVIORAL SERVICES, LLC, which currently Active, has registered address 15050 NW 79TH CT, MIAMI LAKES, FL, 33016, US.
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15050 NW 79TH CT, MIAMI LAKES, FL, 33016, US

CSI-BEHAVIORAL SERVICES, LLC
Florida Limited Liability Co.
CSI-BEHAVIORAL SERVICES, LLC, which currently Active, has registered address 15050 NW 79TH CT, MIAMI LAKES, FL, 33016, US.
PEDIATRIC HOLDINGS, LLC
Florida Limited Liability Co.
PEDIATRIC HOLDINGS, LLC, which currently Active, has registered address 15050 NW 79TH CT, MIAMI LAKES, FL, 33016, US.
PEDIATRIC HOLDINGS, LLC
Florida Limited Liability Co.
PEDIATRIC HOLDINGS, LLC, which currently Active, has registered address 15050 NW 79TH CT, MIAMI LAKES, FL, 33016, US.
BELL EDUCATION CENTER, LLC
Florida Limited Liability Co.
BELL EDUCATION CENTER, LLC, which currently Active, has registered address 15050 NW 79TH CT, MIAMI LAKES, FL, 33016, US.

Date of last update: 02 Aug 2025

Sources: Florida Department of State

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