| Entity Name: | MILLENNIUM PEDIATRICS INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Oct 2000 (24 years ago) |
| Document Number: | P00000099202 |
| FEI/EIN Number | 651048426 |
| Address: | 13155 SW 42ND STREET, 106, MIAMI, FL, 33175 |
| Mail Address: | 15884 SW 84 STREET, MIAMI, FL, 33193 |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386823409 | 2007-10-25 | 2007-10-25 | 13155 SW 42ND ST STE 106, MIAMI, FL, 331753428, US | 13155 SW 42ND ST STE 106, MIAMI, FL, 331753428, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-554-1110 |
| Fax | 3055541455 |
Authorized person
| Name | DR. ANN MARY FERNANDEZ |
| Role | PRESIDENT |
| Phone | 3055541110 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | OS-06734 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UPIN |
| Number | G12847 |
| State | FL |
| Issuer | LIC # |
| Number | OS-06734 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ ANN M | Agent | 13155 SW 42 Street, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ ANN MARY | President | 13155 SW 42ND STREET SUITE 106, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ ANN MARY | Director | 13155 SW 42ND STREET SUITE 106, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| PENDING REINSTATEMENT | 2013-03-04 | No data | No data |
| REINSTATEMENT | 2013-03-02 | No data | No data |
| PENDING REINSTATEMENT | 2012-06-07 | No data | No data |
| PENDING REINSTATEMENT | 2011-12-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
