Entity Name: | ADVANCED PEDIATRIC CENTER LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 15 Jan 2019 (6 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 30 Jan 2019 (6 years ago) |
Document Number: | L19000016573 |
FEI/EIN Number | 83-3147651 |
Address: | 11331 CORTEZ BOULEVARD, BROOKSVILLE, FL, 34613, US |
Mail Address: | 11331 CORTEZ BOULEVARD, BROOKSVILLE, FL, 34613, US |
ZIP code: | 34613 |
County: | Hernando |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326503301 | 2019-02-05 | 2019-11-22 | 11331 CORTEZ BLVD, BROOKSVILLE, FL, 346135404, US | 11331 CORTEZ BLVD, BROOKSVILLE, FL, 346135404, US | |||||||||||||||||||
|
Phone | +1 352-247-2533 |
Fax | 3522472535 |
Authorized person
Name | MUHAMMAD K SAMI |
Role | OWNER / PROVIDER |
Phone | 3522472533 |
Taxonomy
Taxonomy Code | 208000000X - Pediatrics Physician |
Is Primary | Yes |
Taxonomy Code | 2080A0000X - Pediatric Adolescent Medicine Physician |
Is Primary | No |
Name | Role | Address |
---|---|---|
Sami Muhammad K | Agent | 11331 CORTEZ BOULEVARD, BROOKSVILLE, FL, 34613 |
Name | Role | Address |
---|---|---|
SAMI MUHAMMMAD K | Manager | 11331 CORTEZ BOULEVARD, BROOKSVILLE, FL, 34613 |
SAMI MUHAMMAD K | Manager | 19552 HAYDEN LAKE CT, Land O Lakes, FL, 34638 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2023-03-08 | Sami, Muhammad K | No data |
LC AMENDMENT | 2019-01-30 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-05 |
ANNUAL REPORT | 2024-01-31 |
ANNUAL REPORT | 2023-03-08 |
ANNUAL REPORT | 2022-01-23 |
ANNUAL REPORT | 2021-04-08 |
ANNUAL REPORT | 2020-06-30 |
LC Amendment | 2019-01-30 |
Florida Limited Liability | 2019-01-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State