| Entity Name: | PM PEDIATRICS P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Feb 2006 (19 years ago) |
| Document Number: | P06000020452 |
| FEI/EIN Number | 204286225 |
| Address: | 1412 W VINE STREET, KISSIMMEE, FL, 34741, US |
| Mail Address: | 1412 West Vine St, KISSIMMEE, FL, 34741, US |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427214303 | 2008-07-31 | 2008-10-17 | 327 W CYPRESS ST, KISSIMMEE, FL, 347413326, US | 31810 HWY 27, HAINES CITY, FL, 338447617, US | |||||||||||||||||||
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| Phone | +1 407-483-0672 |
| Fax | 4073485882 |
Authorized person
| Name | AZIZ IMTIAZ |
| Role | OWNER |
| Phone | 4074830672 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME100789 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PM PEDIATRICS PA 401K PLAN | 2023 | 204286225 | 2024-09-02 | PM PEDIATRICS P.A. | 18 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-02 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| IMTIAZ AZIZ | Agent | 1412 West Vine St, KISSIMMEE, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| IMTIAZ AZIZ | President | 1412 West Vine St, KISSIMMEE, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| IMTIAZ AZIZ | Director | 1412 West Vine St, KISSIMMEE, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| Imtiaz Shazia | Secretary | 1412 W VINE STREET, KISSIMMEE, FL, 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2015-04-24 | 1412 W VINE STREET, KISSIMMEE, FL 34741 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-24 | 1412 West Vine St, KISSIMMEE, FL 34741 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-06-18 | 1412 W VINE STREET, KISSIMMEE, FL 34741 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
