| Entity Name: | ZAMBRANO PEDIATRICS, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 14 Dec 2005 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Jan 2014 (11 years ago) |
| Document Number: | P05000162858 |
| FEI/EIN Number | 20-3936374 |
| Address: | 999 N. KROME AVENUE, HOMESTEAD, FL 33030 |
| Mail Address: | 11291 SW 26TH STREET, MIAMI, FL 33165 |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750014783 | 2022-07-07 | 2022-07-19 | 999 N KROME AVE, HOMESTEAD, FL, 330304408, US | 999 N KROME AVE, HOMESTEAD, FL, 330304408, US | |||||||||||||||||||||
|
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| Phone | +1 305-247-7080 |
| Fax | 3052474212 |
Authorized person
| Name | CAMILO ZAMBRANO |
| Role | PHYSICIAN |
| Phone | 3052477080 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 257614700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RACHLIN, ROBERT | Agent | 11120 N KENDALL DRIVE, SUITE 201, MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| ZAMBRANO, CAMILO | President | 11291 SW 26TH STREET, MIAMI, FL 33165 |
| Name | Role | Address |
|---|---|---|
| ZAMBRANO, YASMINA | Vice President | 11291 SW 26TH STREET, MIAMI, FL 33165 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000054396 | CAMILO ZAMBRANO, MD | ACTIVE | 2022-04-29 | 2027-12-31 | No data | 999 N. KROME AVENUE, HOMESTEAD, FL, 33030 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2014-01-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-27 | 999 N. KROME AVENUE, HOMESTEAD, FL 33030 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CANCEL ADM DISS/REV | 2009-10-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2007-11-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-10-02 | 11120 N KENDALL DRIVE, SUITE 201, MIAMI, FL 33186 | No data |
| CANCEL ADM DISS/REV | 2006-10-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-10-02 | RACHLIN, ROBERT | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-02-18 |
| ANNUAL REPORT | 2020-04-22 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-04-14 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-01-18 |
| ANNUAL REPORT | 2015-06-18 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
