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  5. ALL KIDS CLINIC, INC.

ALL KIDS CLINIC, INC.

Company Details

Entity Name: ALL KIDS CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Jul 2002 (23 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 14 Aug 2002 (22 years ago)
Document Number: P02000074546
FEI/EIN Number 760703112
Address: 1922 W. MLK JR. BLVD., TAMPA, FL, 33607
Mail Address: 1922 W. MLK JR. BLVD., TAMPA, FL, 33607
ZIP code: 33607
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306058144 2007-05-04 2014-03-21 PO BOX 15876, TAMPA, FL, 336845876, US 1922 W. MARTIN LUTHER KING JR. BLVD, TAMPA, FL, 336076510, US

Contacts
Phone +1 813-849-5437
Fax 8138492624

Authorized person
Name AGUSTIN ALFONSO MARTIN
Role PRESIDENT
Phone 8138495437

Taxonomy
Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
License Number ME56110
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 037954900
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALL KIDS CLINIC, INC. PROFIT SHARING PLAN 2023 760703112 2024-07-17 ALL KIDS CLINIC, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8138495437
Plan sponsor’s address 1922 W DR M L KING JR BLVD, TAMPA, FL, 33607

Signature of
Role Plan administrator
Date 2024-07-17
Name of individual signing AGUSTIN MARTIN
Valid signature Filed with authorized/valid electronic signature
ALL KIDS CLINIC, INC. PROFIT SHARING PLAN 2022 760703112 2023-07-11 ALL KIDS CLINIC, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8138495437
Plan sponsor’s address 1922 W DR M L KING JR BLVD, TAMPA, FL, 33607

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing AGUSTIN MARTIN
Valid signature Filed with authorized/valid electronic signature
ALL KIDS CLINIC, INC. PROFIT SHARING PLAN 2021 760703112 2022-07-28 ALL KIDS CLINIC, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8138495437
Plan sponsor’s address 1922 W DR M L KING JR BLVD, TAMPA, FL, 33607

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing AGUSTIN MARTIN
Valid signature Filed with authorized/valid electronic signature
ALL KIDS CLINIC, INC. PROFIT SHARING PLAN 2020 760703112 2021-10-04 ALL KIDS CLINIC, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8138495437
Plan sponsor’s address 1922 W DR M L KING JR BLVD, TAMPA, FL, 33607

Signature of
Role Plan administrator
Date 2021-10-04
Name of individual signing AGUSTIN MARTIN
Valid signature Filed with authorized/valid electronic signature
ALL KIDS CLINIC, INC. PROFIT SHARING PLAN 2019 760703112 2020-07-14 ALL KIDS CLINIC, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8138495437
Plan sponsor’s address 1922 W DR M L KING JR BLVD, TAMPA, FL, 33607

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing AGUSTIN MARTIN
Valid signature Filed with authorized/valid electronic signature
ALL KIDS CLINIC, INC. PROFIT SHARING PLAN 2018 760703112 2019-07-30 ALL KIDS CLINIC, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8138495437
Plan sponsor’s address 1922 W DR M L KING JR BLVD, TAMPA, FL, 33607

Plan administrator’s name and address
Administrator’s EIN 760703112
Plan administrator’s name ALL KIDS CLINIC, INC.
Plan administrator’s address 1922 W DR M L KING JR BLVD, TAMPA, FL, 33607
Administrator’s telephone number 8138495437
ALL KIDS CLINIC, INC. PROFIT SHARING PLAN 2017 760703112 2018-10-09 ALL KIDS CLINIC, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8138495437
Plan sponsor’s address 1922 W MARTIN LUTHER KING, JR BLVD, TAMPA, FL, 33607

Plan administrator’s name and address
Administrator’s EIN 760703112
Plan administrator’s name ALL KIDS CLINIC, INC.
Plan administrator’s address 1922 W MARTIN LUTHER KING, JR BLVD, TAMPA, FL, 33607
Administrator’s telephone number 8138495437
ALL KIDS CLINIC, INC. PROFIT SHARING PLAN 2016 760703112 2017-10-10 ALL KIDS CLINIC, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8138495437
Plan sponsor’s address 1922 W MARTIN LUTHER KING, JR BLVD, TAMPA, FL, 33607

Plan administrator’s name and address
Administrator’s EIN 760703112
Plan administrator’s name ALL KIDS CLINIC, INC.
Plan administrator’s address 1922 W MARTIN LUTHER KING, JR BLVD, TAMPA, FL, 33607
Administrator’s telephone number 8138495437
ALL KIDS CLINIC, INC. PROFIT SHARING PLAN 2015 760703112 2016-06-23 ALL KIDS CLINIC, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8138495437
Plan sponsor’s address 1922 W MARTIN LUTHER KING, JR BLVD, TAMPA, FL, 33607

Plan administrator’s name and address
Administrator’s EIN 760703112
Plan administrator’s name ALL KIDS CLINIC, INC.
Plan administrator’s address 1922 W MARTIN LUTHER KING, JR BLVD, TAMPA, FL, 33607
Administrator’s telephone number 8138495437
ALL KIDS CLINIC, INC. PROFIT SHARING PLAN 2014 760703112 2015-07-21 ALL KIDS CLINIC, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 8138495437
Plan sponsor’s address 1922 W MARTIN LUTHER KING, JR BLVD, TAMPA, FL, 33607

Plan administrator’s name and address
Administrator’s EIN 760703112
Plan administrator’s name ALL KIDS CLINIC, INC.
Plan administrator’s address 1922 W MARTIN LUTHER KING, JR BLVD, TAMPA, FL, 33607
Administrator’s telephone number 8138495437

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing AGUSTIN A. MARTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MARTIN AGUSTIN P Agent 18827 Avenue Biarritz, Lutz, FL, 33558

President

Name Role Address
MARTIN AGUSTIN M President 18827 Avenue Biarritz, Lutz, FL, 33558

Director

Name Role Address
MARTIN AGUSTIN M Director 18827 Avenue Biarritz, Lutz, FL, 33558
MARTIN DIANA P Director 18827 Avenue Biarritz, Lutz, FL, 33558

Vice President

Name Role Address
MARTIN DIANA P Vice President 18827 Avenue Biarritz, Lutz, FL, 33558

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-04-15 18827 Avenue Biarritz, Lutz, FL 33558 No data
REGISTERED AGENT NAME CHANGED 2010-04-27 MARTIN, AGUSTIN PD No data
CHANGE OF MAILING ADDRESS 2008-04-06 1922 W. MLK JR. BLVD., TAMPA, FL 33607 No data
CHANGE OF PRINCIPAL ADDRESS 2004-01-22 1922 W. MLK JR. BLVD., TAMPA, FL 33607 No data
NAME CHANGE AMENDMENT 2002-08-14 ALL KIDS CLINIC, INC. No data

Documents

Name Date
ANNUAL REPORT 2024-04-21
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-04-03
ANNUAL REPORT 2021-04-17
ANNUAL REPORT 2020-03-27
ANNUAL REPORT 2019-03-30
ANNUAL REPORT 2018-04-15
ANNUAL REPORT 2017-04-12
ANNUAL REPORT 2016-04-10
ANNUAL REPORT 2015-03-21

Related by officers

MARTIN DIANA P

DIANA PATRICIA MARTIN, PLLC AGUSTIN & DIANA MARTIN, LLC MARJER PARTNERS LLC AMDM PARTNERS LLC

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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