| Entity Name: | KIDSVILLE PEDIATRICS II, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
KIDSVILLE PEDIATRICS II, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 24 Apr 2001 (24 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 01 Aug 2011 (14 years ago) |
| Document Number: | P01000041303 |
| FEI/EIN Number |
593717691
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | PO BOX 452223, KISSIMMEE, FL, 34745 |
| Address: | 1050 WEST CARROLL STREET, KISSIMMEE, FL, 34741 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144292756 | 2006-02-07 | 2019-08-13 | 1050 W CARROLL ST, KISSIMMEE, FL, 347411268, US | 1050 W CARROLL ST, KISSIMMEE, FL, 347411268, US | |||||||||||||||||||||||||
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| Phone | +1 407-518-0078 |
| Fax | 4075180094 |
Authorized person
| Name | MR. VICTOR M. PANTOJA JR. |
| Role | ADMINISTRATOR |
| Phone | 4075180078 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME-0074421 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 274049400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Gonzalez Francelis IMD | Chief Executive Officer | PO BOX 452223, Kissimmee, FL, 34745 |
| PANTOJA VICTOR MJr. | President | PO BOX 452223, KISSIMMEE, FL, 34745 |
| PANTOJA VICTOR MJr. | Agent | 1050 WEST CARROLL STREET, KISSIMMEE, FL, 34741 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000000668 | DR. G | ACTIVE | 2023-01-03 | 2028-12-31 | - | PO BOX 452223, KISSIMMEE, FL, 34745 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-10 | 1050 WEST CARROLL STREET, KISSIMMEE, FL 34741 | - |
| REGISTERED AGENT NAME CHANGED | 2013-03-03 | PANTOJA, VICTOR M, Jr. | - |
| CHANGE OF MAILING ADDRESS | 2012-03-11 | 1050 WEST CARROLL STREET, KISSIMMEE, FL 34741 | - |
| AMENDMENT | 2011-08-01 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2006-03-09 | 1050 WEST CARROLL STREET, KISSIMMEE, FL 34741 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-03-10 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-02-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2676388303 | 2021-01-21 | 0455 | PPS | 1050 W Carroll St, Kissimmee, FL, 34741-1268 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
