| Entity Name: | PEDIATRIC ENDOCRINE AND METABOLIC CENTER OF FLORIDA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Nov 2019 (5 years ago) |
| Document Number: | L19000285738 |
| FEI/EIN Number | 84-3895992 |
| Address: | 9401 SW DISCOVERY WAY, SUITE 102, PORT SAINT LUCIE, FL, 34987, US |
| Mail Address: | 9401 SW DISCOVERY WAY, SUITE 102, PORT SAINT LUCIE, FL, 34987, US |
| ZIP code: | 34987 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003488412 | 2021-07-14 | 2023-08-21 | 9401 SW DISCOVERY WAY STE 102, PORT ST LUCIE, FL, 349872381, US | 9401 SW DISCOVERY WAY STE 102, PORT ST LUCIE, FL, 349872381, US | |||||||||||||||||||
|
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| Phone | +1 772-834-7362 |
| Fax | 7726182024 |
Authorized person
| Name | DR. MILADYS MIRIAM PALAU COLLAZO |
| Role | OWNER |
| Phone | 7728347362 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Taxonomy Code | 2080P0205X - Pediatric Endocrinology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOZADA APONTE HECTOR F | Agent | 9401 SW DISCOVERY WAY, PORT SAINT LUCIE, FL, 34987 |
| Name | Role | Address |
|---|---|---|
| PALAU COLLAZO MILADYS MIRIAM | Manager | 9401 SW DISCOVERY WAY, PORT SAINT LUCIE, FL, 34987 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000009404 | PEMC GROUP | ACTIVE | 2020-01-21 | 2025-12-31 | No data | 9401 SW DISCOVERY WAY, 102A, PORT SAINT LUCIE, FL, 34987 |
| G20000008841 | PEDIATRIC ENDOCRINE & METABOLIC CENTER | ACTIVE | 2020-01-20 | 2025-12-31 | No data | 9401 SW DISCOVERY WAY, 102A, PORT SAINT LUCIE, FL, 34987 |
| G20000008844 | PEDIATRIC ENDOCRINE & METABOLIC CENTER | ACTIVE | 2020-01-20 | 2025-12-31 | No data | 9401 SW DISCOVERY WAY, 102A, PORT SAINT LUCIE, FL, 34987 |
| G20000008840 | YOUR KIDS ENDO | ACTIVE | 2020-01-20 | 2025-12-31 | No data | 9401 SW DISCOVERY WAY, 102A, PORT SAINT LUCIE, FL, 34987 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-20 | 9401 SW DISCOVERY WAY, SUITE 102, PORT SAINT LUCIE, FL 34987 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-20 | 9401 SW DISCOVERY WAY, SUITE 102, PORT SAINT LUCIE, FL 34987 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-20 | 9401 SW DISCOVERY WAY, SUITE 102, PORT SAINT LUCIE, FL 34987 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-01-20 |
| ANNUAL REPORT | 2020-01-15 |
| Florida Limited Liability | 2019-11-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
