| Entity Name: | MILESTONES PEDIATRICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Jun 2018 (7 years ago) |
| Document Number: | L18000142785 |
| FEI/EIN Number | 83-0876502 |
| Address: | 100 SW 75th St, Gainesville, FL, 32607, US |
| Mail Address: | 100 SW 75th St, Gainesville, FL, 32607, US |
| ZIP code: | 32607 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508343641 | 2018-07-21 | 2020-08-27 | 6910 NW 52ND LN, GAINESVILLE, FL, 326533954, US | 100 SW 75TH ST STE 101, GAINESVILLE, FL, 326075775, US | |||||||||||||||||||||||||
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| Phone | +1 352-559-8911 |
| Fax | 3525598877 |
Authorized person
| Name | PRIYANKA VYAS |
| Role | OWNER |
| Phone | 5012314079 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME116979 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100919100 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MILESTONES PEDIATRICS RETIREMENT PLAN | 2023 | 830876502 | 2024-10-03 | MILESTONES PEDIATRICS | 1 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-03 |
| Name of individual signing | PRIYANKA VYAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3525598911 |
| Plan sponsor’s address | 6910 NW 52ND LN,, GAINESVILLE, FL, 32653 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-12 |
| Name of individual signing | PRIYANKA VYAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| VYAS PRIYANKA | Agent | 100 SW 75th St, Gainesville, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| VYAS PRIYANKA | Manager | 100 SW 75th St, Gainesville, FL, 32607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-13 | 100 SW 75th St, Ste 101, Gainesville, FL 32607 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-08 | 100 SW 75th St, Ste 101, Gainesville, FL 32607 | No data |
| CHANGE OF MAILING ADDRESS | 2020-09-08 | 100 SW 75th St, Ste 101, Gainesville, FL 32607 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-01-08 |
| Florida Limited Liability | 2018-06-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
