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NITE OWL PEDIATRICS, INC. - Florida Company Profile

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Company Details

Entity Name: NITE OWL PEDIATRICS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 01 Aug 2005 (20 years ago)
Date of dissolution: 16 Apr 2020 (5 years ago)
Last Event: VOLUNTARY DISS W/ NOTICE
Event Date Filed: 16 Apr 2020 (5 years ago)
Document Number: P05000108045
FEI/EIN Number 010840689
Mail Address: 2140 EAST EDGEWOOD DRIVE, LAKELAND, FL, 33803
Address: 3240 SOUTH FLORIDA AVENUE, LAKELAND, FL, 33803, US
ZIP code: 33803
City: Lakeland
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RAY DOROTHY J Director 6230 ASHLEY DRIVE, LAKELAND, FL, 33813
PARKER DANE V Director 6720 CREWS WOOD LANE, LAKELAND, FL, 33813
RAY DOROTHY J Agent 2140 EAST EDGEWOOD DR, LAKELAND, FL, 33803

National Provider Identifier

NPI Number:
1396015863

Authorized Person:

Name:
DR. DOROTHY RAY
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000033067 OWL NOW URGENT CARE EXPIRED 2014-04-02 2019-12-31 - 3240 S. FLORIDA AVENUE, LAKELAND, FL, 33803

Events

Event Type Filed Date Value Description
VOLUNTARY DISS W/ NOTICE 2020-04-16 - -
CHANGE OF PRINCIPAL ADDRESS 2016-03-16 3240 SOUTH FLORIDA AVENUE, Suite 101, LAKELAND, FL 33803 -
REGISTERED AGENT NAME CHANGED 2007-04-18 RAY, DOROTHY J -
REGISTERED AGENT ADDRESS CHANGED 2007-04-18 2140 EAST EDGEWOOD DR, LAKELAND, FL 33803 -

Documents

Name Date
LC Voluntary Dissolution 2020-04-16
ANNUAL REPORT 2019-03-15
ANNUAL REPORT 2018-03-01
ANNUAL REPORT 2017-03-17
ANNUAL REPORT 2016-03-16
ANNUAL REPORT 2015-03-24
ANNUAL REPORT 2014-03-24
ANNUAL REPORT 2013-02-11
ANNUAL REPORT 2012-02-07
ANNUAL REPORT 2011-01-17

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Date of last update: 02 Aug 2025

Sources: Florida Department of State