| Entity Name: | VERO BEACH PEDIATRICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Dec 2021 (3 years ago) |
| Document Number: | L21000527362 |
| FEI/EIN Number | 874038740 |
| Address: | 959 37th Place, VERO BEACH, FL, 32960, US |
| Mail Address: | PO BOX 690037, VERO BEACH, FL, 32969, US |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750035739 | 2022-02-08 | 2023-05-04 | 959 37TH PL, VERO BEACH, FL, 329606541, US | 959 37TH PL, VERO BEACH, FL, 329606541, US | |||||||||||||
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| Phone | +1 772-226-6878 |
Authorized person
| Name | JESSICA CRUZ |
| Role | PARTNER |
| Phone | 7725693212 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VERO BEACH PEDIATRICS 401(K) PLAN | 2023 | 874038740 | 2024-05-09 | VERO BEACH PEDIATRICS | 8 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-09 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7725693212 |
| Plan sponsor’s address | 959 37TH PL, VERO BEACH, FL, 32960 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-30 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Cruz Jessica | Agent | 405 SAPPHIRE WAY SW, VERO BEACH, FL, 32968 |
| Name | Role | Address |
|---|---|---|
| CRUZ JESSICA MD | Manager | 405 SAPPHIRE WAY, VERO BEACH, FL, 32968 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-12 | Cruz, Jessica | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-29 | 959 37th Place, VERO BEACH, FL 32960 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-07-16 |
| Florida Limited Liability | 2021-12-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
