| Entity Name: | PEDIATRIC INSTITUTE FOR HEALTH AND WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PEDIATRIC INSTITUTE FOR HEALTH AND WELLNESS, 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. |
| 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: | 17 Jan 2023 (2 years ago) |
| Document Number: | L23000029227 |
| FEI/EIN Number |
92-1771793
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1002 SE Monterey Commons Blvd, Stuart, FL, 34996, US |
| Mail Address: | 1002 SE Monterey Commons Blvd, Stuart, FL, 34996, US |
| ZIP code: | 34996 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922835669 | 2024-09-17 | 2024-09-17 | 1002 SE MONTEREY COMMONS BLVD STE 203, STUART, FL, 349963357, US | 1002 SE MONTEREY COMMONS BLVD STE 203, STUART, FL, 349963357, US | |||||||||||||||||||||||
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| Phone | +1 844-550-7337 |
| Fax | 7722649820 |
Authorized person
| Name | NICOLE CLARK |
| Role | CEO |
| Phone | 8445507337 |
Taxonomy
| Taxonomy Code | 2084P0005X - Neurodevelopmental Disabilities Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CLARK NICOLE D | Chief Executive Officer | 1002 SE Monterey Commons Blvd, Stuart, FL, 34996 |
| Paralitici-Morales Mariel Dr. | Chief Marketing Officer | 1002 SE Monterey Commons Blvd, Stuart, FL, 34996 |
| CLARK NICOLE D | Agent | 526 CAMPBELL RD, FORT PIERCE, FL, 34945 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000097134 | ADULT AND PEDIATRIC INSTITUTE | ACTIVE | 2024-08-15 | 2029-12-31 | - | 1002 SE MONTEREY COMMONS BLVD STE 203, STUART, FL, 34996 |
| G23000069098 | PEDIATRIC INSTITUTE | ACTIVE | 2023-06-06 | 2028-12-31 | - | 526 CAMPBELL RD, FORT PIERCE, FL, 34945 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-02-10 | 1002 SE Monterey Commons Blvd, Suite 203, Stuart, FL 34996 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-31 | 1002 SE Monterey Commons Blvd, Suite 203, Stuart, FL 34996 | - |
| CHANGE OF MAILING ADDRESS | 2024-01-31 | 1002 SE Monterey Commons Blvd, Suite 203, Stuart, FL 34996 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-10 |
| ANNUAL REPORT | 2024-01-31 |
| Florida Limited Liability | 2023-01-17 |
| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P3195895 | PEDIATRIC INSTITUTE FOR HEALTH AND WELLNESS, LLC | PEDIATRIC INSTITUTE | QC2SEAEBR387 | 1002 SE MONTEREY COMMONS BLVD STE 203, STUART, FL, 34996-3357 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | (none given) |
| Description | Construction Bonding Level (aggregate) |
| Level | (none given) |
| Description | Service Bonding Level (per contract) |
| Level | (none given) |
| Description | Service Bonding Level (aggregate) |
| Level | (none given) |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 621112 |
| NAICS Code's Description | Offices of Physicians, Mental Health Specialists |
| Small | Yes |
Export Profile (Trade Mission Online)
| Exporter | Firm hasn't answered this question yet |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
