| Entity Name: | RIVERVIEW PEDIATRICS AND FAMILY PRACTICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
RIVERVIEW PEDIATRICS AND FAMILY PRACTICE, INC. 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 18 Sep 2001 (24 years ago) |
| Date of dissolution: | 05 Nov 2012 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 05 Nov 2012 (12 years ago) |
| Document Number: | P01000092189 |
| FEI/EIN Number |
593754401
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 122 S. MOON AVE, BRANDON, FL, 33511 |
| Mail Address: | 1724 BONITA BLUFF CT, RUSKIN, FL, 33570 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285708396 | 2006-11-20 | 2010-05-20 | 10420 US HIGHWAY 301 S, RIVERVIEW, FL, 335785806, US | 10420 US HIGHWAY 301 S, RIVERVIEW, FL, 335785806, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-741-0019 |
| Fax | 8137413290 |
Authorized person
| Name | MRS. YVONNE JOAN CLARKE |
| Role | PRES |
| Phone | 8137410019 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME25434 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME98642 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP3184902 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 263800200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CLARKE YVONNE J | President | 1724 BONITA BLUFF CT, RUSKIN, FL, 33570 |
| CAMARA YOLANDA | Vice President | 122 S. MOON AVE, BRANDON, FL, 33570 |
| CAMARA YOLANDA | Secretary | 122 S. MOON AVE, BRANDON, FL, 33570 |
| CLARKE YVONNE J | Agent | 1724 BONITA BLUFF CT, RUSKIN, FL, 33570 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2012-11-05 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-07-10 | 122 S. MOON AVE, BRANDON, FL 33511 | - |
| CHANGE OF MAILING ADDRESS | 2012-07-10 | 122 S. MOON AVE, BRANDON, FL 33511 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-07-10 | 1724 BONITA BLUFF CT, RUSKIN, FL 33570 | - |
| REGISTERED AGENT NAME CHANGED | 2005-05-11 | CLARKE, YVONNE J | - |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2012-11-05 |
| ANNUAL REPORT | 2012-07-10 |
| ANNUAL REPORT | 2011-04-30 |
| ANNUAL REPORT | 2010-05-01 |
| ANNUAL REPORT | 2009-09-15 |
| ANNUAL REPORT | 2008-07-08 |
| ANNUAL REPORT | 2007-04-12 |
| ANNUAL REPORT | 2006-05-06 |
| ANNUAL REPORT | 2005-05-11 |
| ANNUAL REPORT | 2004-04-24 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
