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EVOLVE PEDIATRIC PPEC, LLC - Florida Company Profile

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Company Details

Entity Name: EVOLVE PEDIATRIC PPEC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 08 Jun 2021 (4 years ago)
Date of dissolution: 22 Sep 2023 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (2 years ago)
Document Number: L21000267083
FEI/EIN Number APPLIED FOR
Address: 15273 SW 28TH TERRACE, MIAMI, FL, 33185
Mail Address: 15273 SW 28TH TERRACE, MIAMI, FL, 33185
ZIP code: 33185
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PENA VICTOR M Manager 15273 SW 28TH TERRACE, MIAMI, FL, 33185
ARROYO OMAR Manager 2127 SOUTH 30TH ST, HAINES CITY, FL, 33844
ARROYO OSNAY Manager 2127 SOUTH 30TH ST, HAINES CITY, FL, 33844
CAPOTE GERARDO Manager 10240 SW 56TH ST SUITE 109, MIAMI, FL, 33165
PENA VICTOR Agent 15273 SW 28TH TERRACE, MIAMI, FL, 33185

National Provider Identifier

NPI Number:
1841867645
Certification Date:
2021-06-09

Authorized Person:

Name:
MR. VICTOR M PENA
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
261QM3000X - Medically Fragile Infants and Children Day Care
Is Primary:
Yes

Contacts:

Fax:
7863532757

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -

Documents

Name Date
ANNUAL REPORT 2022-05-01
Florida Limited Liability 2021-06-08

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Date of last update: 02 Aug 2025

Sources: Florida Department of State