| Entity Name: | PEDIATRICS OF SARASOTA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Nov 2001 (23 years ago) |
| Document Number: | P01000107241 |
| FEI/EIN Number | 651149585 |
| Address: | 1951 NORTHGATE BLVD., SARASOTA, FL, 34234 |
| Mail Address: | 1951 NORTHGATE BLVD., SARASOTA, FL, 34234 |
| ZIP code: | 34234 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457400780 | 2007-01-09 | 2020-08-22 | 1951 NORTHGATE BLVD, SARASOTA, FL, 34234, US | 1951 NORTHGATE BLVD, SARASOTA, FL, 34234, US | |||||||||||||||||||||||
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| Phone | +1 941-355-0687 |
| Fax | 9413580417 |
Authorized person
| Name | ASHHAD S FATMI |
| Role | PRESIDENT |
| Phone | 9413550687 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | 0076197 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 43710 |
| Name | Role | Address |
|---|---|---|
| FATMI AMINA | Agent | 1951 NORTHGATE BLVD., SARASOTA, FL, 34234 |
| Name | Role | Address |
|---|---|---|
| FATMI ASHFAQ | President | 1951 NORTHGATE BLVD., SARASOTA, FL, 34234 |
| Name | Role | Address |
|---|---|---|
| FATMI AMINA | Vice President | 1951 NORTHGATE BLVD, SARASOTA, FL, 34234 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-05-03 |
| ANNUAL REPORT | 2018-03-21 |
| ANNUAL REPORT | 2017-03-08 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-01-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
