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ONE SOURCE PEDIATRICS, PA - Florida Company Profile

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Company Details

Entity Name: ONE SOURCE PEDIATRICS, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Mar 2002 (23 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 08 Oct 2009 (16 years ago)
Document Number: P02000034364
FEI/EIN Number 383646020
Address: 1625 N. COMMERCE PARKWAY, 205, WESTON, FL, 33327
Mail Address: 1625 N. COMMERCE PARKWAY, 205, WESTON, FL, 33327
ZIP code: 33327
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RODRIGUEZ ANGELA M President 1625 N COMMERCE PAKWY #205, WESTON, FL, 33327
CLEMENTE MARIA I Vice President 1625 N COMMERCE PKWY # 205, WESTON, FL, 33327
BARBOSA CARLOS O Vice President 1625 N COMMERCE PKWY #205, WESTON, FL, 33327
MARIA CLEMENTE Agent 1625 N.COMMERCE PKWY, WESTON, FL, 33327

National Provider Identifier

NPI Number:
1346266962

Authorized Person:

Name:
DR. CARLOS ORLANDO BARBOSA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9546598770

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2012-02-07 MARIA, CLEMENTE -
CANCEL ADM DISS/REV 2009-10-08 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -
AMENDMENT 2006-08-03 - -
REGISTERED AGENT ADDRESS CHANGED 2006-04-27 1625 N.COMMERCE PKWY, 205, WESTON, FL 33327 -

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-03-13
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-05-13
ANNUAL REPORT 2019-04-15
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-04-07
ANNUAL REPORT 2016-04-19
ANNUAL REPORT 2015-04-22

USAspending Awards / Financial Assistance

Date:
2020-04-26
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
8000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-26
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
8000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 02 Aug 2025

Sources: Florida Department of State