| Entity Name: | PEDIATRIC PHYSICIAN SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 21 Jan 1997 (28 years ago) |
| Document Number: | N97000000326 |
| FEI/EIN Number | 593425191 |
| Address: | 501 6TH AVE S, ST PETERSBURG, FL, 33701, US |
| Mail Address: | 501 6TH AVE S, ST PETERSBURG, FL, 33701, US |
| ZIP code: | 33701 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386393387 | 2022-03-18 | 2022-04-21 | 601 5TH ST S DEPT 6941, ST PETERSBURG, FL, 337014804, US | 3440 W MLK BLVD, TAMPA, FL, 336076223, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 727-767-4429 |
| Fax | 7277674970 |
| Phone | +1 813-910-5140 |
| Fax | 8133500132 |
Authorized person
| Name | KRISTY ALICIA SCHULHOF |
| Role | PRESIDENT |
| Phone | 7278987451 |
Taxonomy
| Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 2278P3900X - Neonatal/Pediatric Certified Respiratory Therapist |
| Is Primary | No |
| Taxonomy Code | 231H00000X - Audiologist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Danielson Paul Dr. | President | 501 6TH AVE S, ST PETERSBURG, FL, 33701 |
| Name | Role | Address |
|---|---|---|
| Rogers Sherron | Vice President | 501 6TH AVE S, ST PETERSBURG, FL, 33701 |
| Name | Role | Address |
|---|---|---|
| Schulhof Alicia | Chairman | 501 6TH AVE S, ST PETERSBURG, FL, 33701 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000036772 | ALL CHILDREN'S SPECIALTY PHYSICIANS | EXPIRED | 2019-03-20 | 2024-12-31 | No data | 501 SIXTH AVENUE SOUTH DEPT. 9080, ST. PETERSBURG, FL, 33701 |
| G13000030139 | ALL CHILDREN'S SPECIALTY PHYSICIANS | EXPIRED | 2013-03-28 | 2018-12-31 | No data | 501 SIXTH AVENUE SOUTH DEPT. 9080, ST PETERSBURG, FL, 33701 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
