Search icon

PEDIATRIC INSTITUTE FOR HEALTH AND WELLNESS, LLC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: PEDIATRIC INSTITUTE FOR HEALTH AND WELLNESS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Jan 2023 (3 years ago)
Document Number: L23000029227
FEI/EIN Number 92-1771793
Address: 1002 SE Monterey Commons Blvd, Stuart, FL, 34996, US
Mail Address: 1002 SE Monterey Commons Blvd, Stuart, FL, 34996, US
ZIP code: 34996
City: Stuart
County: Martin
Place of Formation: FLORIDA

Key Officers & Management

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 1002 SE Monterey Commons Blvd, Stuart, FL, 34996

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
NICOLE CLARK
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business, Service-Disabled Veteran, Veteran, Women-Owned Small Business, Woman Owned
User ID:
P3195895
Trade Name:
ADULT AND PEDIATRIC INSTITUTE

Unique Entity ID

Unique Entity ID:
QC2SEAEBR387
CAGE Code:
9Q2A2
UEI Expiration Date:
2026-03-04

Business Information

Doing Business As:
ADULT AND PEDIATRIC INSTITUTE
Activation Date:
2025-03-06
Initial Registration Date:
2023-10-20

Commercial and government entity program

CAGE number:
9Q2A2
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-03-06
CAGE Expiration:
2030-03-06
SAM Expiration:
2026-03-04

Contact Information

POC:
NICOLE CLARK
Corporate URL:
www.pedsinstitute.com

National Provider Identifier

NPI Number:
1922835669
Certification Date:
2024-09-17

Authorized Person:

Name:
NICOLE CLARK
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
2084P0005X - Neurodevelopmental Disabilities Physician
Is Primary:
No
Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
7722649820

Fictitious Names

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

Events

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 -

Documents

Name Date
ANNUAL REPORT 2025-02-10
ANNUAL REPORT 2024-01-31
Florida Limited Liability 2023-01-17

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Aug 2025

Sources: Florida Department of State