| Entity Name: | PEDIATRIC PARTNERS OF ZEPHYRHILLS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 13 Nov 2000 (24 years ago) |
| Date of dissolution: | 20 Feb 2015 (10 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 20 Feb 2015 (10 years ago) |
| Document Number: | P00000106345 |
| FEI/EIN Number | 59-3677893 |
| Address: | 6712 DAIRY ROAD, ZEPHYRHILLS, FL 33542 |
| Mail Address: | PO BOX 2266, ZEPHYRHILLS, FL 33539 |
| ZIP code: | 33542 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689767303 | 2006-10-02 | 2020-08-22 | PO BOX 2266, ZEPHYRHILLS, FL, 335392266, US | 6748 GALL BLVD, SUITE 150, ZEPHYRHILLS, FL, 33542, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 813-782-6064 |
| Fax | 8137820984 |
Authorized person
| Name | DR. KATHRYN R LIN |
| Role | PRESIDENT/OWNER |
| Phone | 8137826064 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AVMED GROUP ID# |
| Number | E513 |
| State | FL |
| Issuer | BCBS GROUP ID # |
| Number | 45447 |
| State | FL |
| Issuer | CITRUS MEDICAID GROUP ID# |
| Number | V0014001 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MURPHY, DAVID JESQ. | Agent | 14217 THIRD ST., DADE CITY, FL 33523 |
| Name | Role | Address |
|---|---|---|
| LIN, KATHRYN R | Director | 6712 DAIRY ROAD, ZEPHYRHILLS, FL 33542 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2015-02-20 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L15000035634. CONVERSION NUMBER 300000149463 |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-22 | 6712 DAIRY ROAD, ZEPHYRHILLS, FL 33542 | No data |
| CHANGE OF MAILING ADDRESS | 2001-04-10 | 6712 DAIRY ROAD, ZEPHYRHILLS, FL 33542 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-02-20 |
| ANNUAL REPORT | 2014-03-27 |
| ANNUAL REPORT | 2013-04-16 |
| ANNUAL REPORT | 2012-04-16 |
| ANNUAL REPORT | 2011-04-20 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-04-22 |
| ANNUAL REPORT | 2008-04-14 |
| ANNUAL REPORT | 2007-02-12 |
| ANNUAL REPORT | 2006-04-13 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
