| Entity Name: | BRICKELL PEDIATRICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Feb 2000 (25 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Sep 2010 (14 years ago) |
| Document Number: | P00000015037 |
| FEI/EIN Number | 650981995 |
| Address: | 1450 Coral way, MIAMI, FL, 33145, US |
| Mail Address: | 400 south pointe drive, Miami Beach, FL, 33139, US |
| ZIP code: | 33145 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629173943 | 2006-09-13 | 2020-08-22 | 1799 SW 3RD AVE, MIAMI, FL, 331291492, US | 1799 SW 3RD AVE, MIAMI, FL, 331291492, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-858-6626 |
Authorized person
| Name | MONICA REINA |
| Role | OWNER |
| Phone | 3058583737 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME74377 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 42903 |
| State | FL |
| Issuer | AVMED |
| Number | 293016 |
| State | FL |
| Issuer | AETNA |
| Number | 7238275 |
| State | FL |
| Issuer | HUMANA |
| Number | 114901 |
| State | FL |
| Issuer | UNITED HEALTH CARE |
| Number | 1270005 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REINA MONICA M | Agent | 400 SOUTH POINTE DRIVE, MIAMI BEACH, FL, 33139 |
| Name | Role | Address |
|---|---|---|
| REINA MONICA M | Manager | 1450 Coral way, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| REINA MONICA M | Director | 1450 Coral way, MIAMI, FL, 33145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-04 | 1450 Coral way, Suíte 7, MIAMI, FL 33145 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-06 | 1450 Coral way, Suíte 7, MIAMI, FL 33145 | No data |
| REINSTATEMENT | 2010-09-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-13 | 400 SOUTH POINTE DRIVE, 410, MIAMI BEACH, FL 33139 | No data |
| NAME CHANGE AMENDMENT | 2000-09-13 | BRICKELL PEDIATRICS, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-03-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
