| Entity Name: | SLEEP MEDICINE AND PEDIATRIC PULMONARY SPECIALISTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Sep 2022 (2 years ago) |
| Document Number: | L22000386574 |
| FEI/EIN Number | 92-0237818 |
| Address: | 2813 S. Hiawassee Rd, Orlando, FL, 32835, US |
| Mail Address: | 2813 S. Hiawassee Rd, Orlando, FL, 32835, US |
| ZIP code: | 32835 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679294284 | 2022-09-12 | 2023-03-07 | 2813 S HIAWASSEE RD STE 303, ORLANDO, FL, 328356690, US | 2813 S HIAWASSEE RD STE 303, ORLANDO, FL, 328356690, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 407-900-1317 |
| Fax | 4076020816 |
Authorized person
| Name | SHILPA PANDEY |
| Role | OWNER/MANAGER |
| Phone | 4079001317 |
Taxonomy
| Taxonomy Code | 2080P0214X - Pediatric Pulmonology Physician |
| Is Primary | No |
| Taxonomy Code | 2080S0012X - Pediatric Sleep Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1295915171 |
| State | FL |
| Issuer | FLORIDA MEDICAL LICENSE |
| Number | ME121787 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PANDEY SHILPA | Agent | 2813 S. Hiawassee Rd, Orlando, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| PANDEY SHILPA | Manager | 2813 S. Hiawassee Rd, Orlando, FL, 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-01 | 2813 S. Hiawassee Rd, SUITE 303, Orlando, FL 32835 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-12-14 | 2813 S. Hiawassee Rd, SUITE 303, Orlando, FL 32835 | No data |
| CHANGE OF MAILING ADDRESS | 2022-12-14 | 2813 S. Hiawassee Rd, SUITE 303, Orlando, FL 32835 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-21 |
| ANNUAL REPORT | 2023-05-01 |
| Florida Limited Liability | 2022-09-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
