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PALM BEACH PEDIATRICS, LLC - Florida Company Profile

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Company Details

Entity Name: PALM BEACH PEDIATRICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PALM BEACH PEDIATRICS, 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: 12 Aug 2024 (10 months ago)
Last Event: LC AMENDMENT
Event Date Filed: 12 Sep 2024 (9 months ago)
Document Number: L24000363076
FEI/EIN Number 592724116

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

Address: 1920 PALM BEACH LAKES BLVD, SUITE 201, WEST PALM BEACH, FL, 33405, US
Mail Address: 1920 PALM BEACH LAKES BLVD, SUITE 201, WEST PALM BEACH, FL, 33405, US
ZIP code: 33405
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FOX-LEVINE SHANNON Agent 1920 PALM BEACH LAKES BLVD, SUITE 201, WEST PALM BEACH, FL, 33405
JOHNSON CHRISTOPHER Manager 1920 PALM BEACH LAKES BLVD, SUITE 201, WEST PALM BEACH, FL, 33405

National Provider Identifier

NPI Number:
1952107781
Certification Date:
2025-02-21

Authorized Person:

Name:
ELIZABETH LARSEN
Role:
HEAD OF PRACTICE OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000055025 BLUEBIRD KIDS HEALTH ACTIVE 2025-04-23 2030-12-31 - 1920 PALM BEACH LAKES BLVD, STE 201, WEST PALM BEACH, FL, 33409

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-09-12 - -
CONVERSION 2024-08-12 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS H79213. CONVERSION NUMBER 700000257647

Documents

Name Date
LC Amendment 2024-09-12
Florida Limited Liability 2024-08-12

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Date of last update: 02 Jun 2025

Sources: Florida Department of State