| Entity Name: | KIDSVILLE PEDIATRICS IV, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
KIDSVILLE PEDIATRICS IV, P.A. 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 18 Oct 2005 (20 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 05 Jul 2011 (14 years ago) |
| Document Number: | P05000142184 |
| FEI/EIN Number |
134311321
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | P.O. BOX 452223, KISSIMMEE, FL, 34745 |
| Address: | 11886 LAKE UNDERHILL RD., ORLANDO, FL, 32825, US |
| ZIP code: | 32825 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508955212 | 2006-10-12 | 2019-08-13 | 11886 LAKE UNDERHILL RD, ORLANDO, FL, 328254436, US | 11886 LAKE UNDERHILL RD, ORLANDO, FL, 328254436, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 407-447-7773 |
| Fax | 4074477804 |
Authorized person
| Name | DR. FRANCELIS I. GONZALEZ |
| Role | CEO |
| Phone | 4074477773 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME-0074421 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 274349300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GONZALEZ FRANCELIS IMD | Chief Executive Officer | P.O. BOX 452223, KISSIMMEE, FL, 34745 |
| PANTOJA VICTOR MJr. | President | P.O. BOX 452223, KISSIMMEE, FL, 34745 |
| PANTOJA VICTOR MJr. | Agent | 11886 Lake UnderHill RD, ORLANDO, FL, 32825 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-09 | 11886 Lake UnderHill RD, ORLANDO, FL 32825 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-03 | 11886 LAKE UNDERHILL RD., ORLANDO, FL 32825 | - |
| REGISTERED AGENT NAME CHANGED | 2013-03-03 | PANTOJA, VICTOR M, Jr. | - |
| AMENDMENT | 2011-07-05 | - | - |
| CHANGE OF MAILING ADDRESS | 2008-03-17 | 11886 LAKE UNDERHILL RD., ORLANDO, FL 32825 | - |
| 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 |
| AMENDED ANNUAL REPORT | 2016-05-31 |
| ANNUAL REPORT | 2016-03-04 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4799965006 | Small Business Administration | 59.041 - 504 CERTIFIED DEVELOPMENT LOANS | - | - | TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR | |||||||||||||||||
|
||||||||||||||||||||||
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3563498310 | 2021-01-22 | 0491 | PPS | 11886 Lake Underhill Rd, Orlando, FL, 32825-4436 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 02 Apr 2025
Sources: Florida Department of State
