| Entity Name: | NITE OWL PEDIATRICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Aug 2005 (19 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 | 01-0840689 |
| Address: | 3240 SOUTH FLORIDA AVENUE, Suite 101, LAKELAND, FL 33803 |
| Mail Address: | 2140 EAST EDGEWOOD DRIVE, LAKELAND, FL 33803 |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396015863 | 2011-12-30 | 2011-12-30 | 3242 S FLORIDA AVE, LAKELAND, FL, 338034574, US | 3242 S FLORIDA AVE, LAKELAND, FL, 338034574, US | |||||||||||||
|
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| Phone | +1 863-644-7337 |
Authorized person
| Name | DR. DOROTHY RAY |
| Role | MD |
| Phone | 8636447337 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAY, DOROTHY J | Agent | 2140 EAST EDGEWOOD DR, LAKELAND, FL 33803 |
| Name | Role | Address |
|---|---|---|
| RAY, DOROTHY J | Director | 6230 ASHLEY DRIVE, LAKELAND, FL 33813 |
| PARKER, DANE V | Director | 6720 CREWS WOOD LANE, LAKELAND, FL 33813 |
| 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 | No data | 3240 S. FLORIDA AVENUE, LAKELAND, FL, 33803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2020-04-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-16 | 3240 SOUTH FLORIDA AVENUE, Suite 101, LAKELAND, FL 33803 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-04-18 | RAY, DOROTHY J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-18 | 2140 EAST EDGEWOOD DR, LAKELAND, FL 33803 | No data |
| 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 |
Date of last update: 04 Jan 2025
Sources: Florida Department of State
