| Entity Name: | AMAZON PEDIATRICS, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Jul 2007 (18 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 04 Nov 2016 (8 years ago) |
| Document Number: | P07000082013 |
| FEI/EIN Number | 260553886 |
| Address: | 4075 Pine Ridge Road, NAPLES, FL, 34119, US |
| Mail Address: | 4075 Pine Ridge Road, NAPLES, FL, 34119, US |
| ZIP code: | 34119 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871861229 | 2011-12-13 | 2022-07-21 | 4075 PINE RIDGE RD, SUITE #2, NAPLES, FL, 34119, US | 4075 PINE RIDGE RD STE 2, NAPLES, FL, 341194004, US | |||||||||||||||||||||||
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| Phone | +1 239-963-9855 |
| Fax | 2399639857 |
Authorized person
| Name | LETICIA MENDEZ |
| Role | PRESIDENT |
| Phone | 2399639855 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 261894000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MENDEZ LETICIA | Agent | 4075 Pine Ridge Road, NAPLES, FL, 34119 |
| Name | Role | Address |
|---|---|---|
| MENDEZ ROJAS LETICIA | President | 4075 PINE RIDGE ROAD STE 2, NAPLES, FL, 34119 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000002327 | AMAZON FAMILY PRACTICE | ACTIVE | 2022-01-06 | 2027-12-31 | No data | 4075 PINE RIDGE RD STE 2, NAPLES, FL, 34119 |
| G18000057628 | AMAZON CLINIC | ACTIVE | 2018-05-10 | 2028-12-31 | No data | 4075 PINE RIDGE ROAD SUITE NO. 2, NAPLES, FL, 34119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-01-28 | MENDEZ, LETICIA | No data |
| AMENDMENT | 2016-11-04 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-07-01 | 4075 Pine Ridge Road, #2, NAPLES, FL 34119 | No data |
| CHANGE OF MAILING ADDRESS | 2013-07-01 | 4075 Pine Ridge Road, #2, NAPLES, FL 34119 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-07-01 | 4075 Pine Ridge Road, #2, NAPLES, FL 34119 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-17 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-04-15 |
| ANNUAL REPORT | 2017-01-28 |
| Amendment | 2016-11-04 |
| ANNUAL REPORT | 2016-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
