Entity Name: | PEDI PEC, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 24 Jan 2000 (25 years ago) |
Document Number: | P00000010200 |
FEI/EIN Number | 651037268 |
Address: | 15839 NW 2 AVE., MIAMI, FL, 33169 |
Mail Address: | 1450 NW 159 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 | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1174742613 | 2007-04-24 | 2020-08-22 | 1450 NW 159TH ST, MIAMI, FL, 331695727, US | 6738 W SUNRISE BLVD, PLANTATION, FL, 333136070, US | |||||||||||||||||
|
Phone | +1 954-587-1210 |
Authorized person
Name | GRISELDA MILLER |
Role | PRESIDENT |
Phone | 3056231222 |
Taxonomy
Taxonomy Code | 385HR2065X - Child Physical Disabilities Respite Care |
License Number | 60080981 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Daniel Kaskel A | Agent | 6111 Broken Sound Parkway NW, Boca Raton, FL, 33487 |
Name | Role | Address |
---|---|---|
MILLER GRISELDA | President | 1450 NW 159 STREET, MIAMI, FL, 33169 |
Name | Role | Address |
---|---|---|
MILLER GRISELDA | Director | 1450 NW 159 STREET, MIAMI, FL, 33169 |
Name | Role | Address |
---|---|---|
Miller Daniel G | Vice President | 4236 Alton RD, Miami Beach, FL, 33140 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State