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FUNCOAST PEDIATRICS, P.A. - Florida Company Profile

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Company Details

Entity Name: FUNCOAST PEDIATRICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 04 Aug 2000 (25 years ago)
Date of dissolution: 25 Jan 2010 (16 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 25 Jan 2010 (16 years ago)
Document Number: P00000074282
FEI/EIN Number 593662791
Address: 1688 WEST GRANADA BLVD., SUITE 2B, ORMOND BEACH, FL, 32174
Mail Address: 1688 WEST GRANADA BLVD., SUITE 2B, ORMOND BEACH, FL, 32174
ZIP code: 32174
City: Ormond Beach
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WHITE JAMES G President 1688 W GRANADA BLVD #2B, ORMOND BEACH, FL, 32174
BOWCHER CHARITY M Secretary 1688 W GRANADA BLVD #2B, DAYTONA BEACH, FL, 32124
BOWCHER CHARITY M Treasurer 1688 W GRANADA BLVD #2B, DAYTONA BEACH, FL, 32124
WHITE JAMES G Agent 1688 WEST GRANADA BLVD., ORMOND BEACH, FL, 32174

National Provider Identifier

NPI Number:
1518911569

Authorized Person:

Name:
DR. JAMES GRADY WHITE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
3866731933

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2010-01-25 - -
CHANGE OF PRINCIPAL ADDRESS 2009-01-30 1688 WEST GRANADA BLVD., SUITE 2B, ORMOND BEACH, FL 32174 -
CHANGE OF MAILING ADDRESS 2009-01-30 1688 WEST GRANADA BLVD., SUITE 2B, ORMOND BEACH, FL 32174 -
REGISTERED AGENT ADDRESS CHANGED 2009-01-30 1688 WEST GRANADA BLVD., SUITE 2B, ORMOND BEACH, FL 32174 -

Documents

Name Date
Voluntary Dissolution 2010-01-25
ANNUAL REPORT 2009-01-30
ANNUAL REPORT 2008-01-22
ANNUAL REPORT 2007-03-26
ANNUAL REPORT 2006-05-01
ANNUAL REPORT 2005-04-18
ANNUAL REPORT 2004-04-29
ANNUAL REPORT 2003-04-21
ANNUAL REPORT 2002-04-08
ANNUAL REPORT 2001-04-28

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Date of last update: 01 Aug 2025

Sources: Florida Department of State