| Entity Name: | PEDIATRIC ALTERNATIVE TREATMENT, CARE, HOUSING AND EVALUATION SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| 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: | 17 May 2000 (25 years ago) |
| Last Event: | RESTATED ARTICLES |
| Event Date Filed: | 16 May 2022 (3 years ago) |
| Document Number: | N00000003271 |
| FEI/EIN Number |
651012818
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 335 S. KROME AVENUE, # 106, FLORIDA CITY, FL, 33034, US |
| Mail Address: | 335 S. KROME AVENUE, # 106, FLORIDA CITY, FL, 33034, US |
| ZIP code: | 33034 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245490465 | 2008-06-11 | 2019-09-11 | 335 S KROME AVE, SUITE 104, FLORIDA CITY, FL, 330344906, US | 4300 OKEECHOBEE RD, FORT PIERCE, FL, 349475407, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-242-8122 |
| Phone | +1 772-462-6601 |
Authorized person
| Name | MS. AZONA KYLE SMITH |
| Role | ADMINISTRATOR |
| Phone | 3052428122 |
Taxonomy
| Taxonomy Code | 2279G1100X - General Care Registered Respiratory Therapist |
| License Number | 891891900 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 891861900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SMITH AZONA K | President | 335 S. KROME AVE, FLORIDA CITY, FL, 33034 |
| Rodriguez Pamela | Secretary | 335 S. KROME AVENUE, FLORIDA CITY, FL, 33034 |
| Salzer Eric | Treasurer | 335 S. KROME AVENUE, FLORIDA CITY, FL, 33034 |
| DOMINGUEZ FABIOLA | CNO | 335 S KROME AVE, SUITE 106, FLORIDA CITY, FL, 33034 |
| Roth Lawrence L | Chairman | 335 S. KROME AVENUE, FLORIDA CITY, FL, 33034 |
| IPPOLITO JOAN K | Member | 335 S. KROME AVE, FLORIDA CITY, FL, 33034 |
| BROUWER & CO LLC | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000079418 | PATCHES | ACTIVE | 2013-08-09 | 2028-12-31 | - | 335 S. KROME AVENUE, SUITE 106, FLORIDA CITY, FL, 33034 |
| G12000045604 | HOMESTEAD PEDIATRIC SPECIALIST CENTER | EXPIRED | 2012-05-16 | 2017-12-31 | - | 335 S KROME AVENUE #106, FLORIDA CITY, FL, 33034 |
| G09044900420 | A PLACE CALLED PATCHES | EXPIRED | 2009-02-13 | 2014-12-31 | - | 335 SOUTH KROME AVENUE, SUITE 104, FLORIDA CITY, FL, 33034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-10 | 6800 SW 40th Street, 372, Miami, FL 33155 | - |
| REGISTERED AGENT NAME CHANGED | 2023-04-10 | Brouwer & Co LLC | - |
| RESTATED ARTICLES | 2022-05-16 | - | - |
| AMENDMENT | 2014-05-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-02-09 | 335 S. KROME AVENUE, # 106, FLORIDA CITY, FL 33034 | - |
| CHANGE OF MAILING ADDRESS | 2012-02-09 | 335 S. KROME AVENUE, # 106, FLORIDA CITY, FL 33034 | - |
| AMENDMENT | 2000-12-14 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-10 |
| Restated Articles | 2022-05-16 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-04-03 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-02-21 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-02-08 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
