| Entity Name: | HAPPY CAMPER PEDIATRICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Nov 2020 (4 years ago) |
| Document Number: | L20000370480 |
| FEI/EIN Number | 85-4009462 |
| Address: | 1801 Salk Ave, Tavares, FL 32778 |
| Mail Address: | 1801 Salk Ave, Tavares, FL 32778 |
| ZIP code: | 32778 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144983875 | 2021-10-19 | 2023-05-15 | 1801 SALK AVE, TAVARES, FL, 327784311, US | 1801 SALK AVE, TAVARES, FL, 327784311, US | |||||||||||||||||||||||||
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| Phone | +1 352-508-5353 |
| Fax | 3525085753 |
| Phone | +1 352-745-6753 |
Authorized person
| Name | ELIZABETH BARGER |
| Role | NP |
| Phone | 3525085353 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARGER, ELIZABETH | Agent | 10916 MEMORY LANE, TAVARES, FL 32778 |
| Name | Role | Address |
|---|---|---|
| BARGER, ELIZABETH | Authorized Member | 1801 Salk Ave, Tavares, FL 32778 |
| BARGER, JAMES | Authorized Member | 1801 Salk Ave, Tavares, FL 32778 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-19 | 1801 Salk Ave, Tavares, FL 32778 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-19 | 1801 Salk Ave, Tavares, FL 32778 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-03-16 |
| Florida Limited Liability | 2020-11-24 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
