| Entity Name: | DOCTOR BOU PEDIATRICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DOCTOR BOU PEDIATRICS, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 22 Aug 2002 (23 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Nov 2011 (13 years ago) |
| Document Number: | P02000091358 |
| FEI/EIN Number |
522372743
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1507 W. Reynolds St., Plant City, FL, 33563, US |
| Mail Address: | 20713 Center Oak Drive, Tampa, FL, 33647, US |
| ZIP code: | 33563 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316116536 | 2008-02-21 | 2018-04-09 | 1507 W REYNOLDS ST STE A, PLANT CITY, FL, 335634702, US | 1507 W REYNOLDS ST STE A, PLANT CITY, FL, 335634702, US | |||||||||||||||||||
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| Phone | +1 813-719-3716 |
Authorized person
| Name | SALVADOR ANGEL BOU-GAUTHIER |
| Role | CEO / PHYSICIAN |
| Phone | 8137193716 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 374065000 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOCTOR BOU PEDIATRICS INC 401K PLAN | 2018 | 522372743 | 2019-06-12 | DOCTOR BOU PEDIATRICS INC | 6 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2019-06-12 |
| Name of individual signing | SALVADOR BOU |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-06-12 |
| Name of individual signing | SALVADOR BOU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8137193716 |
| Plan sponsor’s address | 1507 W REYNOLDS ST STE A, PLANT CITY, FL, 33563 |
Signature of
| Role | Plan administrator |
| Date | 2018-06-11 |
| Name of individual signing | SALVADOR BOU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8137193716 |
| Plan sponsor’s address | 1507 W REYNOLDS ST STE A, PLANT CITY, FL, 33563 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-10 |
| Name of individual signing | SALVADOR BOU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8137193716 |
| Plan sponsor’s address | 1507 W REYNOLDS ST STE A, PLANT CITY, FL, 33563 |
Signature of
| Role | Plan administrator |
| Date | 2016-07-25 |
| Name of individual signing | SALVADOR BOU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2014-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8137193716 |
| Plan sponsor’s address | 1507 W REYNOLDS ST STE A, PLANT CITY, FL, 33563 |
Signature of
| Role | Plan administrator |
| Date | 2015-09-09 |
| Name of individual signing | SALVADOR BOU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BOU-GAUTHIER SALVADOR | President | 1507 W REYNOLDS ST SUITE A, PLANT CITY, FL, 33563 |
| Bou Salvador H | Chief Operating Officer | 20713 Center Oak Drive, Tampa, FL, 33647 |
| BOU-GAUTHIER SALVADOR | Agent | 20713 Center Oak Drive, Tampa, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-02-18 | 1507 W. Reynolds St., Suite A, Plant City, FL 33563 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-18 | 20713 Center Oak Drive, Tampa, FL 33647 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-12 | 1507 W. Reynolds St., Suite A, Plant City, FL 33563 | - |
| REINSTATEMENT | 2011-11-18 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| AMENDED ANNUAL REPORT | 2023-05-03 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-04-22 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-01-12 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5479918508 | 2021-02-27 | 0455 | PPS | 20713 CENTER DR, TAMPA, FL, 33647 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5981507110 | 2020-04-14 | 0455 | PPP | 20713 CENTER DR, TAMPA, FL, 33647 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 May 2025
Sources: Florida Department of State
