| Entity Name: | EP PHYSICIAN SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Dec 2007 (17 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Apr 2011 (14 years ago) |
| Document Number: | P07000131688 |
| FEI/EIN Number | 261563904 |
| Address: | 3107 W Hallandale Beach Blvd, Pembroke Park, FL, 33009, US |
| Mail Address: | 3107 W Hallandale Beach Blvd, Pembroke Park, FL, 33009, US |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215344221 | 2014-07-22 | 2014-07-22 | 7761 NW 146TH ST, MIAMI LAKES, FL, 330161559, US | 7761 NW 146TH ST, MIAMI LAKES, FL, 330161559, US | |||||||||||||||||||
|
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| Phone | +1 305-822-1243 |
| Fax | 3058224260 |
Authorized person
| Name | ERIC O PANTALEON |
| Role | OWNER |
| Phone | 3058221243 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME006389 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PANTALEON ERIC O | Agent | 4505 SW 152 AVENUE, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| PANTALEON ERIC O | President | 4505 SW 152 AVENUE, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| PANTALEON ERIC O | Vice President | 4505 SW 152 AVENUE, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| PANTALEON ERIC O | Secretary | 4505 SW 152 AVENUE, MIRAMAR, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-09 | 3107 W Hallandale Beach Blvd, Suite 102, Pembroke Park, FL 33009 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-09 | 3107 W Hallandale Beach Blvd, Suite 102, Pembroke Park, FL 33009 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-23 | 4505 SW 152 AVENUE, MIRAMAR, FL 33027 | No data |
| REINSTATEMENT | 2011-04-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-22 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-03-26 |
| ANNUAL REPORT | 2015-03-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
