| Entity Name: | SOUTH FLORIDA PEDIATRIC HOMECARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Jun 2001 (24 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 13 Nov 2001 (23 years ago) |
| Document Number: | P01000063257 |
| FEI/EIN Number | 651114184 |
| Address: | 3351 N. UNIVERSITY DRIVE, DAVIE, FL, 33024, US |
| Mail Address: | 3351 N UNIVERSITY DR, DAVIE, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982661294 | 2006-04-28 | 2020-10-06 | 3351 N UNIVERSITY DR, HOLLYWOOD, FL, 330249003, US | 3351 N UNIVERSITY DR, HOLLYWOOD, FL, 330249003, US | |||||||||||||||||||||||||
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| Phone | +1 954-967-1900 |
| Fax | 9549670550 |
Authorized person
| Name | MRS. BARBARA M SHARIEF |
| Role | PRESIDENT |
| Phone | 9549671900 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299991560 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 650921500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHARIEF BARBARA M | Agent | 3351 N UNIVERSITY DR, DAVIE, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| SHARIEF BARBARA M | President | 3351 N UNIVERSITY DR, DAVIE, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| SHARIEF BARBARA M | Secretary | 3351 N UNIVERSITY DR, DAVIE, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| SHARIEF BARBARA M | Treasurer | 3351 N UNIVERSITY DR, DAVIE, FL, 33024 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000072114 | SOUTH FLORIDA PEDIATRIC AND ADULT HOMECARE | EXPIRED | 2011-07-19 | 2016-12-31 | No data | 2452 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-22 | 3351 N. UNIVERSITY DRIVE, DAVIE, FL 33024 | No data |
| CHANGE OF MAILING ADDRESS | 2020-09-16 | 3351 N. UNIVERSITY DRIVE, DAVIE, FL 33024 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-24 | 3351 N UNIVERSITY DR, DAVIE, FL 33024 | No data |
| NAME CHANGE AMENDMENT | 2001-11-13 | SOUTH FLORIDA PEDIATRIC HOMECARE INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-03-11 |
| ANNUAL REPORT | 2015-03-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
