| Entity Name: | DR. CORDERO PEDIATRIC OFFICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Sep 2006 (18 years ago) |
| Date of dissolution: | 28 Mar 2024 (10 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Mar 2024 (10 months ago) |
| Document Number: | P06000115773 |
| FEI/EIN Number | 562581170 |
| Address: | 1090 6TH AVENUE N, NAPLES, FL, 34102 |
| Mail Address: | 1090 6TH AVENUE N, NAPLES, FL, 34102 |
| ZIP code: | 34102 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407248636 | 2015-02-25 | 2023-12-15 | 1090 6TH AVE N, NAPLES, FL, 341025604, US | 1090 6TH AVE N, NAPLES, FL, 341025604, US | |||||||||||||||||||||
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| Phone | +1 239-213-9200 |
| Fax | 2392139205 |
Authorized person
| Name | MRS. NIRKA M CORDERO |
| Role | OFFICE MANAGER |
| Phone | 2392139204 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 276436900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CORDERO HECTOR J | Agent | 1090 6TH AVENUE N, NAPLES, FL, 34102 |
| Name | Role | Address |
|---|---|---|
| CORDERO HECTOR J | President | 4685 7TH AVE. SW, NAPLES, FL, 34119 |
| Name | Role | Address |
|---|---|---|
| CORDERO NIRKA M | Vice President | 4685 7TH AVE. SW, NAPLES, FL, 34119 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000095716 | LITTLE LAMB PEDIATRICS | ACTIVE | 2015-09-17 | 2025-12-31 | No data | 1090 6TH AVENUE N, NAPLES, FL, 34102 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-16 | 1090 6TH AVENUE N, NAPLES, FL 34102 | No data |
| AMENDMENT | 2011-08-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-08-09 | 1090 6TH AVENUE N, NAPLES, FL 34102 | No data |
| CHANGE OF MAILING ADDRESS | 2011-08-09 | 1090 6TH AVENUE N, NAPLES, FL 34102 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-28 |
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-05-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
