| Entity Name: | PEDIATRIC MEDICAL DAYCARE OF HOLLYWOOD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Sep 2022 (2 years ago) |
| Document Number: | L22000385090 |
| FEI/EIN Number | 88-4120157 |
| Address: | 6603 TAFT STREET, HOLLYWOOD, FL 33024 |
| Mail Address: | 5310 NW 33RD AVE SUITE 211, FORT LAUDERDALE, FL 33309 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609598267 | 2022-09-12 | 2023-04-24 | 5310 NW 33RD AVE STE 211, FORT LAUDERDALE, FL, 333096319, US | 6603 TAFT ST, HOLLYWOOD, FL, 330244010, US | |||||||||||||||||||||||
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| Phone | +1 954-731-3350 |
| Phone | +1 954-982-7110 |
Authorized person
| Name | KARRIE TOMS |
| Role | CFO |
| Phone | 9547313350 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM3000X - Medically Fragile Infants and Children Day Care |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WEISMAN, ANDREW | Agent | 5310 NW 33RD AVE SUITE 211, FORT LAUDERDALE, FL 33309 |
| Name | Role | Address |
|---|---|---|
| Weisman, Andrew | Manager | 5310 NW 33rd Ave, Ste 211 Fort Lauderdale, FL 33309 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000124006 | SUNSHINE KIDZ OF HOLLYWOOD | ACTIVE | 2023-10-06 | 2028-12-31 | No data | 5310 NW 33RD AVE STE 211, FORT LAUDERDALE, FL, 33309 |
| G22000126434 | SUNSHINE KIDS PEDIATRIC CARE OF HOLLYWOOD | ACTIVE | 2022-10-10 | 2027-12-31 | No data | 5310 NW 33RD AVE, STE 211, FORT LAUDERDALE, FL, 33309 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-04-28 |
| Florida Limited Liability | 2022-09-07 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
