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CURO PEDIATRICS, PLLC

Company Details

Entity Name: CURO PEDIATRICS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 02 Oct 2023 (a year ago)
Document Number: L23000453391
FEI/EIN Number 93-3737657
Address: 835 7th Street, Suite 3, CLERMONT, FL 34711
Mail Address: P.O. BOX 120516, CLERMONT, FL 34712
ZIP code: 34711
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821864992 2023-11-30 2023-11-30 PO BOX 120516, CLERMONT, FL, 347120516, US 835 7TH ST STE 3, CLERMONT, FL, 347112190, US

Contacts

Phone +1 352-604-0469
Fax 3522041070

Authorized person

Name DR. CONNIE FAUNTLEROY
Role PEDIATRICIAN/OWNER
Phone 3074480464

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
FAUNTLEROY, CONNIE A Agent 9218 IVYWOOD ST, CLERMONT, FL 34711

Authorized Member

Name Role Address
FAUNTLEROY, CONNIE A Authorized Member 9218 IVYWOOD ST, CLERMONT, FL 34711

Authorized Representative

Name Role Address
Fauntleroy, Joel Authorized Representative 835 7th Street, Suite 3, CLERMONT, FL 34711

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-11-08 835 7th Street, Suite 3, CLERMONT, FL 34711 No data

Documents

Name Date
ANNUAL REPORT 2024-03-06
Florida Limited Liability 2023-10-02

Date of last update: 09 Feb 2025

Sources: Florida Department of State