| Entity Name: | J. F. K. PEDIATRICS INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 27 Sep 2006 (18 years ago) |
| Document Number: | P06000124167 |
| FEI/EIN Number | 20-5623371 |
| Address: | 9868 S. SR 7, SUITE 305, BOYNTON BEACH, FL 33472 |
| Mail Address: | 8000 SW 117th AVENUE, SUITE 205, MIAMI, FL 33183 |
| ZIP code: | 33472 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740488519 | 2007-07-03 | 2024-09-16 | 160 JFK DR STE 101, ATLANTIS, FL, 334626638, US | 160 JFK DR STE 101, ATLANTIS, FL, 334626638, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 561-964-1215 |
| Fax | 5619641245 |
Authorized person
| Name | JULIE A KONOWITZ-SIRKIN |
| Role | PRESIDENT |
| Phone | 5619641215 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 97576 |
| State | FL |
| Issuer | MEDICAID |
| Number | 277717700 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| WALTER, JOSEPH | AUTHORIZED PERSON AND VICE PRESIDENT | 1515 SUNSET DRIVE, SUITE 32 MIAMI, FL 33143 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000082370 | JUST FOR KIDS PEDIATRICS | ACTIVE | 2024-07-10 | 2029-12-31 | No data | 9868 S. SR 7, SUITE 305, BOYNTON BEACH, FL, 33472 |
| G12000084373 | JUST FOR KIDS PEDIATRICS | EXPIRED | 2012-08-27 | 2017-12-31 | No data | 110 J.F.K. DRIVE, SUITE 118, ATLANTIS, FL, 33473 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-12-10 | 9868 S. SR 7, SUITE 305, BOYNTON BEACH, FL 33472 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-12-10 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-12-10 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-09-29 | 9868 S. SR 7, SUITE 305, BOYNTON BEACH, FL 33472 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-12-10 |
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-28 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
