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HAMPTON PEDIATRICS, P.A. - Florida Company Profile

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Company Details

Entity Name: HAMPTON PEDIATRICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 10 Sep 2001 (24 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 20 Feb 2006 (19 years ago)
Document Number: P01000089812
FEI/EIN Number 593747675
Address: 11512 LAKE MEAD AVE, 201, JACKSONVILLE, FL, 32256
Mail Address: 9966 Vineyard Lake Rd East, Jacksonville, FL, 32256, US
ZIP code: 32256
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Shivashankar Nanjappa Director 9966 Vineyard Lake Rd East, Jacksonville, FL, 32256
SHIVASHANKAR LATHA Agent 9966 Vineyard Lake Rd East, Jacksonville, FL, 32256
Shivashankar Latha President 9966 VINEYARD LAKE RD E, Jacksonville, FL, 32256

National Provider Identifier

NPI Number:
1770039687

Authorized Person:

Name:
DR. LATHA SHIVASHANKAR
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
9049981450

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2025-03-31 - -
CHANGE OF MAILING ADDRESS 2024-04-30 11512 LAKE MEAD AVE, 201, JACKSONVILLE, FL 32256 -
REGISTERED AGENT ADDRESS CHANGED 2024-04-30 9966 Vineyard Lake Rd East, Jacksonville, FL 32256 -
CHANGE OF PRINCIPAL ADDRESS 2009-04-25 11512 LAKE MEAD AVE, 201, JACKSONVILLE, FL 32256 -
AMENDMENT AND NAME CHANGE 2006-02-20 HAMPTON PEDIATRICS, P.A. -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-04-14
ANNUAL REPORT 2021-04-24
ANNUAL REPORT 2020-05-31
ANNUAL REPORT 2019-04-15
ANNUAL REPORT 2018-04-11
ANNUAL REPORT 2017-04-03
ANNUAL REPORT 2016-04-04
ANNUAL REPORT 2015-06-10

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$21,840.25
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$21,840.25
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$22,095.75
Servicing Lender:
VyStar CU
Use of Proceeds:
Payroll: $21,840.25

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Date of last update: 01 Aug 2025

Sources: Florida Department of State