| Entity Name: | PEDIATRIC WIZARDS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 May 2004 (21 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Oct 2014 (10 years ago) |
| Document Number: | P04000079130 |
| FEI/EIN Number | 412138363 |
| Address: | 1310 WEST EAU GALLIE BOULEVARD, SUITE C, MELBOURNE, FL, 32935 |
| Mail Address: | 1310 WEST EAU GALLIE BOULEVARD, SUITE C, MELBOURNE, FL, 32935 |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437318367 | 2008-06-05 | 2008-06-05 | 1310 W EAU GALLIE BLVD, SUITE C, MELBOURNE, FL, 329355300, US | 1310 W EAU GALLIE BLVD, SUITE C, MELBOURNE, FL, 329355300, US | |||||||||||||||||||
|
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| Phone | +1 321-255-3434 |
| Fax | 3212550963 |
Authorized person
| Name | DR. DAVID ANDREW HELFT |
| Role | OWNER |
| Phone | 3212553434 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME82113 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HELFT DAVID AMD | Agent | 3082 Rio Plumosa South, Indialantic, FL, 32903 |
| Name | Role | Address |
|---|---|---|
| HELFT DAVID AMD | President | 3082 Rio Plumosa South, Indialantic, FL, 32903 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-15 | 3082 Rio Plumosa South, Indialantic, FL 32903 | No data |
| REINSTATEMENT | 2014-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REINSTATEMENT | 2012-04-30 | No data | No data |
| PENDING REINSTATEMENT | 2012-04-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-06-21 | 1310 WEST EAU GALLIE BOULEVARD, SUITE C, MELBOURNE, FL 32935 | No data |
| CHANGE OF MAILING ADDRESS | 2005-06-21 | 1310 WEST EAU GALLIE BOULEVARD, SUITE C, MELBOURNE, FL 32935 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-06-21 | HELFT, DAVID A, MD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-05-03 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-18 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
