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PEDI PEC, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
Daniel Kaskel A Agent 6111 Broken Sound Parkway NW, Boca Raton, FL, 33487

President

Name Role Address
MILLER GRISELDA President 1450 NW 159 STREET, MIAMI, FL, 33169

Director

Name Role Address
MILLER GRISELDA Director 1450 NW 159 STREET, MIAMI, FL, 33169

Vice President

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