| Entity Name: | EMERALD COAST PEDIATRICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 20 Dec 1989 (35 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L37520 |
| FEI/EIN Number | 59-3013795 |
| Address: | 5834 BERRYHILL RD, MILTON, FL 32570 |
| Mail Address: | 5834 BERRYHILL RD, MILTON, FL 32570 |
| ZIP code: | 32570 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801098504 | 2007-06-04 | 2020-08-22 | 5834 BERRYHILL RD, MILTON, FL, 325708275, US | 4860 WOODBINE RD, SUITE 1 & 2, PACE, FL, 325718709, US | |||||||||||||||||||
|
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| Phone | +1 850-995-8087 |
| Fax | 8509945292 |
Authorized person
| Name | MRS. SHARI WHITE |
| Role | OFFICE MANAGER |
| Phone | 8506235437 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME87749 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VANOSTENBRIDGE, JOHN A | Agent | 4524 BAYSIDE DRIVE, MILTON, FL 32583 |
| Name | Role | Address |
|---|---|---|
| VANOSTENBRIDGE, JOHN A. | President | 4524 BAYSIDE DRIV, AVALON BEACH, FL |
| Name | Role | Address |
|---|---|---|
| HENSLEY, DAVID AMD | Vice President | 5834 BERRYHILL RD, MILTON, FL 32570 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| AMENDMENT | 2007-12-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-04-03 | 5834 BERRYHILL RD, MILTON, FL 32570 | No data |
| CHANGE OF MAILING ADDRESS | 2003-04-03 | 5834 BERRYHILL RD, MILTON, FL 32570 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1999-04-27 | 4524 BAYSIDE DRIVE, MILTON, FL 32583 | No data |
| REGISTERED AGENT NAME CHANGED | 1999-04-27 | VANOSTENBRIDGE, JOHN A | No data |
| REINSTATEMENT | 1990-12-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1990-11-09 | No data | No data |
| NAME CHANGE AMENDMENT | 1990-04-23 | EMERALD COAST PEDIATRICS, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-02-20 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-02-19 |
| ANNUAL REPORT | 2012-03-22 |
| ANNUAL REPORT | 2011-03-07 |
| ANNUAL REPORT | 2010-04-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
