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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
FAUNTLEROY, CONNIE A | Agent | 9218 IVYWOOD ST, CLERMONT, FL 34711 |
Name | Role | Address |
---|---|---|
FAUNTLEROY, CONNIE A | Authorized Member | 9218 IVYWOOD ST, CLERMONT, FL 34711 |
Name | Role | Address |
---|---|---|
Fauntleroy, Joel | Authorized Representative | 835 7th Street, Suite 3, CLERMONT, FL 34711 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-11-08 | 835 7th Street, Suite 3, CLERMONT, FL 34711 | No data |
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