| Entity Name: | FLORIDA ASSOCIATION OF PEDIATRIC CRITICAL CARE MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 05 Sep 1989 (35 years ago) |
| Document Number: | N34055 |
| FEI/EIN Number | 592967556 |
| Address: | 1600 S ANDREWS AVE, BROWARD GRL MED CR, 7TH FLPICU OFFICE, FORT LAUDERDALE, FL, 33316 |
| Mail Address: | 2110 W. M.L. KING BLVD, TAMPA, FL, 33607 |
| ZIP code: | 33316 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| HINES, JAMES P. | Agent | 315 HYDE PARK AVE, TAMPA, FL |
| Name | Role | Address |
|---|---|---|
| NORTHRUP, REX | Director | 5153 NORTH 9TH AVENUE, PENSACOLA, FL, 32504 |
| DENICOLA LUCIAN | Director | 820 PRUDENTIAL DR #208 HOWARD BLDG, JACKSONVILLE, FL, 32207 |
| SUSSMANEA JEFFREY | Director | 3100 SW 62 AVENUE, MIAMI, FL, 33155 |
| SWANSON MARK | Director | 83 W.COLOMBIA STREET, ORLANDO, FL, 32806 |
| Name | Role | Address |
|---|---|---|
| NORTHRUP, REX | Vice President | 5153 NORTH 9TH AVENUE, PENSACOLA, FL, 32504 |
| Name | Role | Address |
|---|---|---|
| DENICOLA LUCIAN | President | 820 PRUDENTIAL DR #208 HOWARD BLDG, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| TOROE JORGE D | Secretary | 1600 S.ANDREW AVE,7TH FL, FORT LAUDERDALE, FL, 33316 |
| Name | Role | Address |
|---|---|---|
| TOROE JORGE D | Treasurer | 1600 S.ANDREW AVE,7TH FL, FORT LAUDERDALE, FL, 33316 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| AMENDMENT | 1990-04-12 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
