| Entity Name: | PEDIATRIC URGENT CARE GROUP OF ORMOND BEACH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Feb 2006 (19 years ago) |
| Document Number: | P06000025145 |
| FEI/EIN Number | 204284858 |
| Address: | 1688 WEST GRANADA BLVD, SUITE 1A, ORMOND BEACH, FL, 32174 |
| Mail Address: | 1688 WEST GRANADA BLVD, SUITE 1A, ORMOND BEACH, FL, 32174 |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083831192 | 2007-04-19 | 2009-11-17 | 1688 W GRANADA BLVD, SUITE 1A, ORMOND BEACH, FL, 321741851, US | 1688 W GRANADA BLVD, SUITE 1A, ORMOND BEACH, FL, 321741851, US | |||||||||||||||
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| Phone | +1 386-615-4414 |
| Fax | 3866158466 |
Authorized person
| Name | DR. JAIME E QUINTEROS |
| Role | PRESIDENT |
| Phone | 3866154414 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| QUINTEROS JAIME E | Agent | 1688 E GRANADA BLVD STE 1A, ORMOND BEACH, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| QUINTEROS JAIME EMD | President | 1688 WEST GRANADA BLVD SUITE 1A, ORMOND BEACH, FL, 32174 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000129344 | DAYLIGHT PEDIATRICS | ACTIVE | 2024-10-21 | 2029-12-31 | No data | 1688 W GRANADA BLVD, STE 1A, ORMOND BEACH, FL, 32174 |
| G07166900164 | TWILIGHT PEDIATRICS | ACTIVE | 2007-06-15 | 2027-12-31 | No data | 1688 WEST GRANADA BLVD SUITE 1A, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-10 | QUINTEROS, JAIME E | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-10 | 1688 E GRANADA BLVD STE 1A, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-09-06 | 1688 WEST GRANADA BLVD, SUITE 1A, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF MAILING ADDRESS | 2007-09-06 | 1688 WEST GRANADA BLVD, SUITE 1A, ORMOND BEACH, FL 32174 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-07-15 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-03-22 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-02-17 |
| ANNUAL REPORT | 2015-01-13 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3894937102 | 2020-04-12 | 0491 | PPP | 1688 West Granada Boulevard 1A, ORMOND BEACH, FL, 32174-1818 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2429128407 | 2021-02-03 | 0491 | PPS | 1688 W Granada Blvd Ste 1A, Ormond Beach, FL, 32174-1818 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
