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INGRAM PEDIATRICS, P.A. - Florida Company Profile

Company Details

Entity Name: INGRAM PEDIATRICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

INGRAM PEDIATRICS, 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: 06 Apr 2006 (19 years ago)
Document Number: P06000049570
FEI/EIN Number 204642093

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 4100 SOUTH HOSPITAL DRIVE, SUITE 302, PLANTATION, FL, 33317, US
Mail Address: 4100 SOUTH HOSPITAL DRIVE, SUITE 302, PLANTATION, FL, 33317, US
ZIP code: 33317
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265581383 2007-01-09 2022-06-16 4100 SOUTH HOSPITAL DRIVE, SUITE 302, PLANTATION, FL, 333172838, US 4101 S HOSPITAL DR, SUITE 12, PLANTATION, FL, 333172857, US

Contacts

Phone +1 954-321-1591
Fax 9543211592

Authorized person

Name DR. DEBORAH E INGRAM
Role PHYSICIAN/OWNER
Phone 9543211591

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number ME79116
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 261906700
State FL

Key Officers & Management

Name Role Address
INGRAM DEBORAH E President 4100 SOUTH HOSPITAL DRIVE, SUITE 302, PLANTATION, FL, 33317
Ingram Carrie Exec 4100 SOUTH HOSPITAL DRIVE, PLANTATION, FL, 33317
WALKER GARY E Agent 401 East Jackson Street, TAMPA, FL, 33602

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-03-27 401 East Jackson Street, SUITE 3100, TAMPA, FL 33602 -
CHANGE OF PRINCIPAL ADDRESS 2014-03-30 4100 SOUTH HOSPITAL DRIVE, SUITE 302, PLANTATION, FL 33317 -
CHANGE OF MAILING ADDRESS 2014-03-30 4100 SOUTH HOSPITAL DRIVE, SUITE 302, PLANTATION, FL 33317 -

Documents

Name Date
ANNUAL REPORT 2024-02-04
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-03-13
ANNUAL REPORT 2020-05-07
ANNUAL REPORT 2019-03-27
ANNUAL REPORT 2018-03-09
ANNUAL REPORT 2017-04-09
ANNUAL REPORT 2016-04-10
ANNUAL REPORT 2015-02-18

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P3337789 INGRAM PEDIATRICS, P.A. - DARNDMVWWSL3 4100 S HOSPITAL DR STE 302, PLANTATION, FL, 33317-2838
Capabilities Statement Link -
Phone Number 954-321-1591
Fax Number -
E-mail Address deingram@ingrampeds.com
WWW Page https://www.ingrampeds.com/
E-Commerce Website https://www.ingrampeds.com/
Contact Person DEBORAH INGRAM
County Code (3 digit) 011
Congressional District 20
Metropolitan Statistical Area 2680
CAGE Code 07Z08
Year Established 2006
Accepts Government Credit Card Yes
Legal Structure Subchapter S Corporation
Ownership and Self-Certifications Black American, Other Minority Owned, Self-Certified Small Disadvantaged Business, Veteran, Women-Owned Small Business, Woman Owned
Business Development Servicing Office SOUTH FLORIDA DISTRICT OFFICE (SBA office code 0455)
Capabilities Narrative Ingram Pediatrics, P.A. is a trusted primary care practice offering comprehensive healthcare for infants, children, and adolescents from birth to 19 years old. We specialize in preventive care, early diagnosis, and the treatment of complex medical conditions. Our services include developmental screenings, newborn care, sports physicals, acute care, mental health screenings, and lab health screenings. At Ingram Pediatrics, we collaborate with community resources, health plans, and specialty providers to ensure coordinated care. Our efficient office operations and strong vendor partnerships allow us to deliver top-quality care while minimizing administrative burdens. Whether you need preventive care or support for complex health concerns, Ingram Pediatrics is committed to helping your child thrive. To view more about our Federal Contracting information, please visit our FedLinks landing page Ingram Pediatrics
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords Medical, healthcare, mental health, teaching, community outreach, networking, counseling, education, mentoring, medical claims, patient records, pediatrics
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

Current Principals

Name Deborah Ingram
Role Owner

SBA Federal Certifications

HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified Yes
Veteran-Owned Small Business Joint Venture No
Veteran-Owned Small Business Certification Date 2025-01-29
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels

Description Construction Bonding Level (per contract)
Level $0
Description Construction Bonding Level (aggregate)
Level $0
Description Service Bonding Level (per contract)
Level $0
Description Service Bonding Level (aggregate)
Level $0

NAICS Codes with Size Determinations by NAICS

Primary Yes
Code 621111
NAICS Code's Description Offices of Physicians (except Mental Health Specialists)
Buy Green Yes

Export Profile (Trade Mission Online)

Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

Date of last update: 01 May 2025

Sources: Florida Department of State