| Entity Name: | COOL KIDZ PEDIATRICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Aug 2018 (6 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 27 Nov 2019 (5 years ago) |
| Document Number: | L18000197688 |
| FEI/EIN Number | 83-1646407 |
| Address: | 7747 WEST HILLSBOROUGH AVENUE, TAMPA, FL 33615 |
| Mail Address: | 7747 WEST HILLSBOROUGH AVENUE, TAMPA, FL 33615 |
| ZIP code: | 33615 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891423976 | 2022-08-08 | 2022-08-08 | 208 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 336033602, US | 301 N PARSONS AVE STE A, BRANDON, FL, 335104517, US | |||||||||||||||
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| Phone | +1 813-873-1725 |
| Phone | +1 813-655-5807 |
Authorized person
| Name | KESHAVA BABU |
| Role | MEDICAL DIRECTOR |
| Phone | 8136555807 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COOL KIDS PEDIATRICS LLC 401K | 2022 | 831646407 | 2023-05-30 | COOL KIDZ PEDIATRICS LLC | 4 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-05-30 |
| Name of individual signing | VIJAY DASIKA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-02-01 |
| Business code | 551112 |
| Sponsor’s telephone number | 8133170035 |
| Plan sponsor’s address | 208 W MARTIN LUTHER KING BLVD, TAMPA, FL, 33603 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-18 |
| Name of individual signing | VIJAY DASIKA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| WALTER, JOSEPH | AUTHORIZED PERSON AND VICE PRESIDENT | 1515 SUNSET DRIVE, SUITE 32 MIAMI, FL 33143 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000136128 | COOL KIDZ PEDIATRICS | ACTIVE | 2022-11-01 | 2027-12-31 | No data | 208 W. DR. MARTIN LUTHER KING JR. BLVD., TAMPA, FL, 33603 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-03 | 7747 WEST HILLSBOROUGH AVENUE, TAMPA, FL 33615 | No data |
| CHANGE OF MAILING ADDRESS | 2024-06-03 | 7747 WEST HILLSBOROUGH AVENUE, TAMPA, FL 33615 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-12-13 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-12-13 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| LC STMNT OF RA/RO CHG | 2019-11-27 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-06-03 |
| ANNUAL REPORT | 2024-02-15 |
| AMENDED ANNUAL REPORT | 2023-12-13 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-02-03 |
| CORLCRACHG | 2019-11-27 |
| ANNUAL REPORT | 2019-06-26 |
| Florida Limited Liability | 2018-08-17 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
