| Entity Name: | PEDIATRIC POTENTIALS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Jan 2002 (23 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 14 Jul 2008 (17 years ago) |
| Document Number: | P02000003542 |
| FEI/EIN Number | 010561600 |
| Address: | 295 WAYMONT COURT, LAKE MARY, FL, 32746 |
| Mail Address: | 295 WAYMONT COURT, LAKE MARY, FL, 32746 |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982624771 | 2006-07-21 | 2008-10-22 | 295 WAYMONT CT, LAKE MARY, FL, 327466744, US | 295 WAYMONT CT, LAKE MARY, FL, 327466744, US | |||||||||||||||||||||
|
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| Phone | +1 407-322-3962 |
| Fax | 4073231614 |
Authorized person
| Name | MR. BRIAN ARNONE |
| Role | PRESIDENT |
| Phone | 4073223962 |
Taxonomy
| Taxonomy Code | 2081P0010X - Pediatric Rehabilitation Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 888328900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ARNONE BRIAN S | Agent | 295 WAYMONT COURT, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| ARNONE BRIAN S | Director | 295 WAYMONT COURT, LAKE MARY, FL, 32746 |
| ARNONE KELLI A | Director | 295 WAYMONT COURT, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| ARNONE BRIAN S | President | 295 WAYMONT COURT, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| ARNONE BRIAN S | Treasurer | 295 WAYMONT COURT, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| ARNONE KELLI A | Secretary | 295 WAYMONT COURT, LAKE MARY, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-01-17 | ARNONE, BRIAN S. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-16 | 295 WAYMONT COURT, LAKE MARY, FL 32746 | No data |
| CHANGE OF MAILING ADDRESS | 2009-01-16 | 295 WAYMONT COURT, LAKE MARY, FL 32746 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-16 | 295 WAYMONT COURT, LAKE MARY, FL 32746 | No data |
| NAME CHANGE AMENDMENT | 2008-07-14 | PEDIATRIC POTENTIALS, INC. | No data |
| AMENDMENT | 2004-10-20 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-05-09 |
| ANNUAL REPORT | 2019-02-28 |
| ANNUAL REPORT | 2018-02-01 |
| ANNUAL REPORT | 2017-01-27 |
| ANNUAL REPORT | 2016-02-18 |
| ANNUAL REPORT | 2015-03-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
