| Entity Name: | PEDI-STAT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 22 Aug 1990 (34 years ago) |
| Document Number: | L95311 |
| FEI/EIN Number | 65-0218007 |
| Address: | 1450 NW 159TH STREET, MIAMI, FL 33169 |
| Mail Address: | 1450 NW 159TH STREET, MIAMI, FL 33169 |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770581498 | 2005-07-07 | 2020-08-22 | 1450 NW 159TH ST, MIAMI, FL, 331695727, US | 1450 NW 159TH ST, MIAMI, FL, 331695727, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 305-623-1222 |
| Fax | 3056231012 |
Authorized person
| Name | MS. GRISELDA MILLER |
| Role | PRESIDENT |
| Phone | 3056231222 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 54 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| License Number | 54 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 54 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Kaskel, Daniel A | Agent | 6111 Broken Sound Parkway NW, 200, Boca Raton, FL 33487 |
| Name | Role | Address |
|---|---|---|
| GRISELDA MILLER | President | 1450 NW 159TH STREET, MIAMI, FL 33169 |
| Name | Role | Address |
|---|---|---|
| Miller, Daniel G | Vice President | 4236 Alton Rd, Miami Beach, FL 33140 |
| Name | Role | Address |
|---|---|---|
| GRISELDA MILLER | Director | 1450 NW 159TH STREET, MIAMI, FL 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-01-05 | Kaskel, Daniel A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-05 | 6111 Broken Sound Parkway NW, 200, Boca Raton, FL 33487 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-07-11 | 1450 NW 159TH STREET, MIAMI, FL 33169 | No data |
| CHANGE OF MAILING ADDRESS | 2005-07-11 | 1450 NW 159TH STREET, MIAMI, FL 33169 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-01-05 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
