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NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC - Florida Company Profile

Company Details

Entity Name:	NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Co. NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status:	Active The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.
Date Filed:	30 Dec 2020 (4 years ago)
Last Event:	CONVERSION
Event Date Filed:	30 Dec 2020 (4 years ago)
Document Number:	L20000396769
FEI/EIN Number	463756071 Federal Employer Identification (FEI) Number assigned by the IRS.
Address:	3100 SW 62ND AVE, MIAMI, FL, 33155, US
Mail Address:	3100 SW 62ND AVE, MIAMI, FL, 33155, US
ZIP code:	33155
County:	Miami-Dade
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1912720186

2024-11-05

PO BOX 947095, ATLANTA, GA, 303947095, US

10230 W STATE ROAD 84, DAVIE, FL, 333244202, US

Contacts

Phone

+1 305-666-6511

Authorized person

Name	MARCOS MESTRE
Role	SVP
Phone	3056666511

Taxonomy

Taxonomy Code	207XP3100X - Pediatric Orthopaedic Surgery Physician
Is Primary	No
Taxonomy Code	207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary	No
Taxonomy Code	207YP0228X - Pediatric Otolaryngology Physician
Is Primary	No
Taxonomy Code	2080P0202X - Pediatric Cardiology Physician
Is Primary	Yes
Taxonomy Code	2080P0206X - Pediatric Gastroenterology Physician
Is Primary	No
Taxonomy Code	208200000X - Plastic Surgery Physician
Is Primary	No
Taxonomy Code	2084N0400X - Neurology Physician
Is Primary	No
Taxonomy Code	2084N0402X - Neurology with Special Qualifications in Child Neurology Physician
Is Primary	No
Taxonomy Code	261QM1300X - Multi-Specialty Clinic/Center
Is Primary	No

Key Officers & Management

Name	Role	Address
MIAMI CHILDREN'S HEALTH SYSTEM, INC.	Agent	-
MIAMI CHILDREN'S HEALTH SYSTEM, INC DBA NI	Member	3100 SW 62ND AVE, MIAMI, FL, 33155

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G24000129380	NICKLAUS CHILDREN'S AT PALM BEACH GARDENS	ACTIVE	2024-10-21	2029-12-31	-	11310 LEGACY AVENUE, PALM BEACH GARDENS, FL, 33410
G24000129354	NICKLAUS CHILDREN'S AT NAPLES	ACTIVE	2024-10-21	2029-12-31	-	3227 HORSESHOE DRIVE SOUTH, NAPLES, FL, 34104
G24000124737	NICKLAUS CHILDREN'S AT WESTON	ACTIVE	2024-10-07	2029-12-31	-	2900 SOUTH COMMERCE PARKWAY, WESTON, FL, 33331
G24000084231	NICKLAUS CHILDREN'S AT DAVIE	ACTIVE	2024-07-15	2029-12-31	-	10230 W STATE ROAD 84, DAVIE, FL, 33324
G24000082418	NICKLAUS CHILDREN'S AT SOUTH MIAMI	ACTIVE	2024-07-10	2029-12-31	-	6262 SUNSET DRIVE, MIAMI, FL, 33143
G24000077397	NICKLAUS CHILDREN'S AT WEST PINES	ACTIVE	2024-06-25	2029-12-31	-	18503 PINES BLVD, SUITE 212, PEMBROKE PINES, FL, 33029
G23000076946	NICKLAUS CHILDREN'S AT SUNSET OAKS	ACTIVE	2023-06-27	2028-12-31	-	9260 SW 72ND STREET, BUILDING 6, SUITE 217, MIAMI, FL, 33173
G23000072473	NICKLAUS CHILDREN'S AT OVERTOWN	ACTIVE	2023-06-14	2028-12-31	-	217 NW 15 STREET, MIAMI, FL, 33136
G23000023682	NICKLAUS CHILDREN'S AT COOPER CITY	ACTIVE	2023-02-20	2028-12-31	-	11011 SHERIDAN STREET, SUITE 311, COOPER CITY, FL, 33026
G23000023717	NICKLAUS CHILDREN'S AT CUTLER BAY	ACTIVE	2023-02-20	2028-12-31	-	18557 S. DIXIE HIGHWAY, MIAMI, FL, 33157
G23000023723	NICKLAUS CHILDREN'S AT GALLOWAY	ACTIVE	2023-02-20	2028-12-31	-	7800 SW 87 AVENUE, #C-350, MIAMI, FL, 33173
G23000023709	NICKLAUS CHILDREN'S AT POMPANO BEACH	ACTIVE	2023-02-20	2028-12-31	-	4701 N. FEDERAL HIGHWAY, SUITE 370, POMPANO BEACH, FL, 33064
G23000023712	NICKLAUS CHILDREN'S AT PEMBROKE PINES	ACTIVE	2023-02-20	2028-12-31	-	208 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024
G22000120721	NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS AT GALLOWAY	ACTIVE	2022-09-23	2027-12-31	-	7800 SW 87TH AVENUE, #C-350, MIAMI, FL, 33173
G22000065020	NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS AT WELLINGTON	ACTIVE	2022-05-25	2027-12-31	-	10111 FOREST HILL BLVD, STE 110, WELLINGTON, FL, 33414
G22000065024	NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS AT CORAL REEF	ACTIVE	2022-05-25	2027-12-31	-	8950 SW 152 STREET, STE A, PALMETTO BAY, FL, 33157
G22000044180	NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS AT WEST KENDALL	ACTIVE	2022-04-07	2027-12-31	-	13400 SW 120TH STREET, SUITE 100, MIAMI, FL, 33186
G22000040745	NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS AT BOYNTON BEACH	ACTIVE	2022-03-30	2027-12-31	-	10383 HAGEN RANCH ROAD, SUITE 200, BOYNTON BEACH, FL, 33437
G22000040748	NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS AT PLANTATION	ACTIVE	2022-03-30	2027-12-31	-	8430 W. BROWARD BOULEVARD, PLANTATION, FL, 33324
G22000029413	NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS AT ALTON ROAD	ACTIVE	2022-03-07	2027-12-31	-	4308 ALTON ROAD, SUITE 940, MIAMI BEACH, FL, 33140

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2024-04-11	MIAMI CHILDREN'S HEALTH SYSTEM, INC.	-
REGISTERED AGENT ADDRESS CHANGED	2024-04-11	C/O LEGAL DEPT, 3100 SW 62ND AVE, MIAMI, FL 33155	-
CONVERSION	2020-12-30	-	CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS N12000008352. CONVERSION NUMBER 100000208931

Documents

Name	Date
ANNUAL REPORT	2024-04-11
ANNUAL REPORT	2023-02-22
ANNUAL REPORT	2022-04-27
ANNUAL REPORT	2021-04-19
Florida Limited Liability	2020-12-30

Date of last update: 03 Apr 2025

Sources: Florida Department of State