Entity Name: | CITRUS COUNTY PEDIATRICS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 24 Apr 2006 (19 years ago) |
Date of dissolution: | 28 Jan 2019 (6 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 28 Jan 2019 (6 years ago) |
Document Number: | P06000058021 |
FEI/EIN Number | 680627964 |
Address: | 547 SE Fort Island Trail, SUITE C, CRYSTAL RIVER, FL, 34429, US |
Mail Address: | 547 SE Fort Island Trail, SUITE C, CRYSTAL RIVER, FL, 34429, US |
ZIP code: | 34429 |
County: | Citrus |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1790176857 | 2015-02-11 | 2015-02-11 | 547 SE FORT ISLAND TRL, SUITE C, CRYSTAL RIVER, FL, 344298905, US | 547 SE FORT ISLAND TRL, SUITE C, CRYSTAL RIVER, FL, 344298905, US | |||||||||||||||||||
|
Phone | +1 352-794-7391 |
Fax | 3527947394 |
Authorized person
Name | DR. MARCY LEE HOWARD |
Role | OWNER/ PRESIDENT |
Phone | 3527947391 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
License Number | ME68113 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HOWARD MARCY LDr. | Agent | 10055 N DAYLILY TERRACE, CRYSTAL RIVER, FL, 34428 |
Name | Role | Address |
---|---|---|
HOWARD MARCY L | President | 10055 N DAYLILY TERRACE, CRYSTAL RIVER, FL, 34428 |
Name | Role | Address |
---|---|---|
HOWARD MARCY L | Secretary | 10055 N DAYLILY TERRACE, CRYSTAL RIVER, FL, 34428 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2019-01-28 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2017-03-28 | HOWARD, MARCY Lee, Dr. | No data |
CHANGE OF PRINCIPAL ADDRESS | 2014-01-21 | 547 SE Fort Island Trail, SUITE C, CRYSTAL RIVER, FL 34429 | No data |
CHANGE OF MAILING ADDRESS | 2014-01-21 | 547 SE Fort Island Trail, SUITE C, CRYSTAL RIVER, FL 34429 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2011-02-18 | 10055 N DAYLILY TERRACE, CRYSTAL RIVER, FL 34428 | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2019-01-28 |
ANNUAL REPORT | 2018-01-16 |
ANNUAL REPORT | 2017-03-28 |
ANNUAL REPORT | 2016-02-25 |
ANNUAL REPORT | 2015-03-23 |
ANNUAL REPORT | 2014-01-21 |
ANNUAL REPORT | 2013-02-20 |
ANNUAL REPORT | 2012-02-15 |
ANNUAL REPORT | 2011-02-18 |
ANNUAL REPORT | 2010-01-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State