| Entity Name: | KIDS' CORNER PEDIATRICS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Mar 2020 (5 years ago) |
| Document Number: | L20000076683 |
| FEI/EIN Number | 850575960 |
| Address: | 1114 Bell Shoals Rd, BRANDON, FL, 33511, US |
| Mail Address: | 1114 Bell Shoals Rd, BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720603129 | 2020-06-11 | 2020-07-27 | 1114 BELL SHOALS RD, BRANDON, FL, 335118813, US | 1114 BELL SHOALS ROAD, BRANDON, FL, 335118813, US | |||||||||||||||
|
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| Phone | +1 813-940-8140 |
| Fax | 8139408148 |
Authorized person
| Name | EVER I RIVERA |
| Role | OWNER |
| Phone | 8139408140 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHNSON, POPE, BOKOR, RUPPEL & BURNS, LLP | Agent | 401 E. JACKSON ST STE 3100, TAMPA, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| RIVERA EVER IM.D. | Manager | 1714 COMPTON ST, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-29 | 1114 Bell Shoals Rd, BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-29 | 1114 Bell Shoals Rd, BRANDON, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-29 |
| Florida Limited Liability | 2020-03-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
