Search icon

PEDIATRICA HEALTH OF FLORIDA, LLC - Florida Company Profile

Company Details

Entity Name: PEDIATRICA HEALTH OF FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PEDIATRICA HEALTH OF FLORIDA, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 09 Aug 2024 (9 months ago)
Last Event: LC AMENDMENT
Event Date Filed: 20 Nov 2024 (6 months ago)
Document Number: L24000344971
FEI/EIN Number 861141885

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 75 VALENCIA AVE STE 709, CORAL GABLES, FL, 33134, US
Mail Address: 75 VALENCIA AVE STE 709, CORAL GABLES, FL, 33134, US
ZIP code: 33134
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316385164 2013-06-13 2024-09-12 75 VALENCIA AVE STE 709, CORAL GABLES, FL, 331346132, US 4788 HODGES BLVD, SUITE B-108, JACKSONVILLE, FL, 322247222, US

Contacts

Phone +1 904-223-9100
Fax 9042239282

Authorized person

Name DR. PRASANTHI REDDY
Role OWNER/ DOCTOR
Phone 9042239100

Taxonomy

Taxonomy Code 2080A0000X - Pediatric Adolescent Medicine Physician
License Number ME91195
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 118989200
State FL

Key Officers & Management

Name Role Address
CAPITOL CORPORATE SERVICES, INC. Agent -
PALENZUELA ROBERTO L Manager 75 VALENCIA AVE STE 709, CORAL GABLES, FL, 33134

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000052515 CORNERSTONE PEDIATRICS ACTIVE 2025-04-18 2030-12-31 - 380 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL, 34983
G25000045196 DELRAY PEDIATRICS ACTIVE 2025-04-02 2030-12-31 - 4800 LINTON BLVD, STE E-315, DELRAY BEACH, FL, 33445
G25000033069 PEDIATRICA OF MIAMI LAKES ACTIVE 2025-03-07 2030-12-31 - 7480 FAIRWAY DRIVE, STE 202, MIAMI LAKES, FL, 33014
G25000022538 PEDIATRICA OF LAKEWOOD RANCH ACTIVE 2025-02-14 2030-12-31 - 6995 PROFESSIONAL PKWY E, SARASOTA, FL, 34240
G25000022537 PEDIATRICA OF LAKEWOOD RANCH ACTIVE 2025-02-14 2030-12-31 - 6995 PROFESSIONAL PKWY E,, SARASOTA, FL, 34240
G25000007655 PEDIATRICA OF SOUTH BRADENTON ACTIVE 2025-01-17 2030-12-31 - 4861 27TH STREET WEST, BRADENTON, FL, 34207
G24000142711 PEDIATRICA OF PORT ST. LUCIE ACTIVE 2024-11-22 2029-12-31 - 380 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL, 34983
G24000142710 PEDIATRICA OF ST. AUGUSTINE SOUTH ACTIVE 2024-11-22 2029-12-31 - 2676 US-1, ST. AUGUSTINE, FL, 32086
G24000125046 PEDIATRICA OF GAINESVILLE ACTIVE 2024-10-08 2029-12-31 - 2005 SW 75TH ST, SUITE 10, GAINESVILLE, FL, 32607
G24000125045 PEDIATRICA OF JULINGTON ACTIVE 2024-10-08 2029-12-31 - 4125 RACE TRACK ROAD, UNIT 104, ST. JOHNS, FL, 32259

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-11-20 - -
REGISTERED AGENT NAME CHANGED 2024-11-20 CAPITOL CORPORATE SERVICES, INC. -
REGISTERED AGENT ADDRESS CHANGED 2024-11-20 515 E PARK AVE 2nd FL, TALLAHASSEE, FL 32301 -
CHANGE OF MAILING ADDRESS 2024-08-29 75 VALENCIA AVE STE 709, CORAL GABLES, FL 33134 -
LC AMENDMENT 2024-08-29 - -
CHANGE OF PRINCIPAL ADDRESS 2024-08-29 75 VALENCIA AVE STE 709, CORAL GABLES, FL 33134 -
CONVERSION 2024-08-09 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P05000092612. CONVERSION NUMBER 100000257231

Documents

Name Date
ANNUAL REPORT 2025-02-07
LC Amendment 2024-11-20
LC Amendment 2024-08-29
Florida Limited Liability 2024-08-09

Date of last update: 01 May 2025

Sources: Florida Department of State