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KIDSVILLE PEDIATRICS III, P.A. - Florida Company Profile

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Company Details

Entity Name: KIDSVILLE PEDIATRICS III, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Jul 2004 (21 years ago)
Document Number: P04000099541
FEI/EIN Number 731711024
Address: 1804 OAKLEY SEAVER DRIVE, SUITE -C, CLERMONT, FL, 34711
Mail Address: PO BOX 452223, KISSIMMEE, FL, 34745
ZIP code: 34711
City: Clermont
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GONZALEZ FRANCELIS IDr. Chief Executive Officer PO BOX 452223, KISSIMMEE, FL, 34745
PANTOJA VICTOR MJr. President PO BOX 452223, KISSIMMEE, FL, 34745
PANTOJA VICTOR MJr. Agent 1804 OAKLEY SEAVER DRIVE, CLERMONT, FL, 34741

National Provider Identifier

NPI Number:
1215901723
Certification Date:
2025-01-22

Authorized Person:

Name:
MR. VICTOR M. PANTOJA JR.
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
3522421104

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000064806 KIDSVILLE III FAMILY MEDICINE, PA ACTIVE 2012-06-28 2027-12-31 - 1804 OAKLEY SEAVER DR SUITE C, SCENIC OAK CT, CLERMONT, FL, 34711

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2015-02-21 PANTOJA , VICTOR M, Jr. -
REGISTERED AGENT ADDRESS CHANGED 2010-03-22 1804 OAKLEY SEAVER DRIVE, SUITE -C, CLERMONT, FL 34741 -
CHANGE OF PRINCIPAL ADDRESS 2005-01-19 1804 OAKLEY SEAVER DRIVE, SUITE -C, CLERMONT, FL 34711 -

Documents

Name Date
ANNUAL REPORT 2024-02-04
ANNUAL REPORT 2023-02-17
ANNUAL REPORT 2022-02-22
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-02-17
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-03-10
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-03-04
ANNUAL REPORT 2015-02-21

USAspending Awards / Financial Assistance

Date:
2020-05-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
71600.00
Total Face Value Of Loan:
71600.00

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Date of last update: 01 Aug 2025

Sources: Florida Department of State