| Entity Name: | PANAMERICAN PEDIATRICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Jun 2000 (25 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P00000063278 |
| FEI/EIN Number | 651021041 |
| Address: | 1177 71ST STREET, MIAMI BEACH, FL, 33141 |
| Mail Address: | 1177 71ST STREET, MIAMI BEACH, FL, 33141 |
| ZIP code: | 33141 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518095504 | 2007-03-01 | 2008-04-29 | 1177 71ST ST, MIAMI BEACH, FL, 331413645, US | 1177 71ST ST, MIAMI BEACH, FL, 331413645, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-867-5805 |
| Fax | 3058675807 |
Authorized person
| Name | DR. WLADIMIR PIZZUTO LORENTZ |
| Role | OWNER, PRESIDENT |
| Phone | 3058675805 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME80932 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 265577200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LORENTZ WLADIMIR P | Agent | 1177 71ST STREET, MIAMI BEACH, FL, 33141 |
| Name | Role | Address |
|---|---|---|
| LORENTZ WLADIMIR P | Director | 1177 71ST STREET, MIAMI BEACH, FL, 33141 |
| Name | Role | Address |
|---|---|---|
| LAWRENCE BORIS | Manager | 1177 71ST STREET, MIAMI BEACH, FL, 33141 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2001-04-30 | 1177 71ST STREET, MIAMI BEACH, FL 33141 | No data |
| CHANGE OF MAILING ADDRESS | 2001-04-30 | 1177 71ST STREET, MIAMI BEACH, FL 33141 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2001-04-30 | 1177 71ST STREET, MIAMI BEACH, FL 33141 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-01-14 |
| ANNUAL REPORT | 2007-03-05 |
| ANNUAL REPORT | 2006-02-12 |
| ANNUAL REPORT | 2005-03-19 |
| ANNUAL REPORT | 2004-04-19 |
| ANNUAL REPORT | 2003-02-27 |
| ANNUAL REPORT | 2002-05-15 |
| ANNUAL REPORT | 2001-04-30 |
| Domestic Profit | 2000-06-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
