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SANTA ROSA PEDIATRICS OF FLORIDA, P.A. - Florida Company Profile

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Company Details

Entity Name: SANTA ROSA PEDIATRICS OF FLORIDA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 May 2005 (20 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 23 Dec 2005 (20 years ago)
Document Number: P05000073294
FEI/EIN Number 202869580
Address: 5962 BERRY HILL RD, MILTON, FL, 32570
Mail Address: 5962 BERRY HILL RD, MILTON, FL, 32570
ZIP code: 32570
City: Milton
County: Santa Rosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GHIGLINO LUIS A Director 5962 BERRY HILL RD, MILTON, FL, 32570
GHIGLINO LUIS A Agent 5962 BERRY HILL RD, MILTON, FL, 32570

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
LUIS GHIGLINO
Ownership and Self-Certifications:
Other Minority Owned, Self-Certified Small Disadvantaged Business
User ID:
P3140794

Unique Entity ID

Unique Entity ID:
G43XMQURWAP3
CAGE Code:
9KRD3
UEI Expiration Date:
2026-02-27

Business Information

Division Name:
SANTA ROSA PEDIATRICS OF FLORIDA PA
Activation Date:
2025-03-03
Initial Registration Date:
2023-04-05

Commercial and government entity program

CAGE number:
9KRD3
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-03-03
CAGE Expiration:
2030-03-03
SAM Expiration:
2026-02-27

Contact Information

POC:
LUIS A. GHIGLINO
Corporate URL:
www.santarosapediatrics.com

National Provider Identifier

NPI Number:
1922095512

Authorized Person:

Name:
DR. LUIS A GHIGLINO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
8509830970

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2006-03-26 GHIGLINO, LUIS AMD -
REGISTERED AGENT ADDRESS CHANGED 2006-03-26 5962 BERRY HILL RD, MILTON, FL 32570 -
AMENDMENT AND NAME CHANGE 2005-12-23 SANTA ROSA PEDIATRICS OF FLORIDA, P.A. -
CHANGE OF PRINCIPAL ADDRESS 2005-12-23 5962 BERRY HILL RD, MILTON, FL 32570 -
CHANGE OF MAILING ADDRESS 2005-12-23 5962 BERRY HILL RD, MILTON, FL 32570 -

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-02-14
ANNUAL REPORT 2022-02-06
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-05-27
ANNUAL REPORT 2019-03-04
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-01-16
ANNUAL REPORT 2016-02-01
ANNUAL REPORT 2015-01-16

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Date of last update: 02 Aug 2025

Sources: Florida Department of State