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PEDIATRIC SUPPLIER INC. - Florida Company Profile

Company Details

Entity Name: PEDIATRIC SUPPLIER INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PEDIATRIC SUPPLIER 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 01 Feb 2005 (20 years ago)
Date of dissolution: 23 Sep 2022 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (3 years ago)
Document Number: P05000016959
FEI/EIN Number 743139165

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 13482 SW 131ST STREET, MIAMI, FL, 33186
Mail Address: 13482 SW 131ST STREET ., MIAMI, FL, 33186
ZIP code: 33186
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033157524 2006-06-04 2012-02-29 13482 SW 131ST ST, MIAMI, FL, 331865891, US 13482 SW 131ST ST, MIAMI, FL, 331865891, US

Contacts

Phone +1 305-969-3484
Fax 3059693482

Authorized person

Name MR. ROBERT JUNCO JR.
Role PRESIDENT
Phone 3059693484

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 1312752
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 031113800
State FL

Key Officers & Management

Name Role Address
JUNCO ROBERTO J President 13482 SW 131ST STREET, MIAMI, FL, 33186
JUNCO ROBERTO J Secretary 13482 SW 131ST STREET, MIAMI, FL, 33186
JUNCO ROBERTO J Treasurer 13482 SW 131ST STREET, MIAMI, FL, 33186
JUNCO ROBERTO J Director 13482 SW 131ST STREET, MIAMI, FL, 33186
JUNCO ROBERTO J Agent 13482 SW 131ST STREET, MIAMI, FL, 33186

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2012-04-13 13482 SW 131ST STREET, MIAMI, FL 33186 -
CHANGE OF MAILING ADDRESS 2012-04-13 13482 SW 131ST STREET, MIAMI, FL 33186 -
REGISTERED AGENT ADDRESS CHANGED 2012-04-13 13482 SW 131ST STREET, MIAMI, FL 33186 -
REGISTERED AGENT NAME CHANGED 2007-01-04 JUNCO, ROBERTO JR -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J22000537482 ACTIVE 2022-006316-CA-01 CIR CT 11TH JUD MIAMI-DADE FL 2022-11-15 2027-11-30 $43,081.41 TD BANK, N.A., 5900 N. ANDREWS AVENUE, SUITE 200, FT. LAUDERDALE, FL 33309

Documents

Name Date
ANNUAL REPORT 2021-02-18
ANNUAL REPORT 2020-04-23
ANNUAL REPORT 2019-03-04
ANNUAL REPORT 2018-02-05
ANNUAL REPORT 2017-03-08
ANNUAL REPORT 2016-01-29
ANNUAL REPORT 2015-03-03
ANNUAL REPORT 2014-02-11
ANNUAL REPORT 2013-03-25
ANNUAL REPORT 2012-04-13

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4279707302 2020-04-29 0455 PPP 13482 SW 131st Street, miami, FL, 33186
Loan Status Date 2021-07-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 92200
Loan Approval Amount (current) 92200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 123499
Servicing Lender Name BayFirst National Bank
Servicing Lender Address 700 Central Avenue, Saint Petersburg, FL, 33701
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address miami, MIAMI-DADE, FL, 33186-0100
Project Congressional District FL-28
Number of Employees 7
NAICS code 621610
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 123499
Originating Lender Name BayFirst National Bank
Originating Lender Address Saint Petersburg, FL
Gender Male Owned
Veteran Veteran
Forgiveness Amount 93230.62
Forgiveness Paid Date 2021-06-24
7281578310 2021-01-28 0455 PPS 13482 SW 131st St, Miami, FL, 33186-5891
Loan Status Date 2022-09-20
Loan Status Charged Off
Loan Maturity in Months 39
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 84200
Loan Approval Amount (current) 84200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Miami, MIAMI-DADE, FL, 33186-5891
Project Congressional District FL-28
Number of Employees 8
NAICS code 423450
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 123499
Originating Lender Name BayFirst National Bank
Originating Lender Address Saint Petersburg, FL
Gender Male Owned
Veteran Veteran
Forgiveness Amount -
Forgiveness Paid Date -

Date of last update: 03 Apr 2025

Sources: Florida Department of State