| Entity Name: | LEE VISTA PEDIATRICS, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Sep 2008 (16 years ago) |
| Document Number: | P08000086566 |
| FEI/EIN Number | 263822930 |
| Address: | 815 WOODBURY RD, # 102, ORLANDO, FL, 32828 |
| Mail Address: | 815 WOODBURY RD, # 102, ORLANDO, FL, 32828 |
| ZIP code: | 32828 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093955940 | 2009-03-04 | 2009-03-04 | 815 WOODBURY RD, SUITE 102, ORLANDO, FL, 328284515, US | 815 WOODBURY RD, SUITE 102, ORLANDO, FL, 328284515, US | |||||||||||||||||||
|
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| Phone | +1 407-208-9870 |
| Fax | 4072089868 |
Authorized person
| Name | MARCIA GAYOSO |
| Role | PRESIDENT |
| Phone | 4072089870 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME0084749 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GAYOSO MARCIA D | Agent | 2342 TREYMORE DR, ORLANDO, FL, 32825 |
| Name | Role | Address |
|---|---|---|
| GAYOSO MARCIA D | President | 2342 TREYMORE DR, ORLANDO, FL, 32825 |
| Name | Role | Address |
|---|---|---|
| GAYOSO REYNALDO N | Vice President | 2342 TREYMORE DR, ORLANDO, FL, 32825 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000047925 | IKIDS PEDIATRIC CARE | ACTIVE | 2012-05-23 | 2027-12-31 | No data | 815 WOODBURY RD STE 102, ORLANDO, FL, 32828 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-08-14 | 815 WOODBURY RD, # 102, ORLANDO, FL 32828 | No data |
| CHANGE OF MAILING ADDRESS | 2009-08-14 | 815 WOODBURY RD, # 102, ORLANDO, FL 32828 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-03-14 |
| ANNUAL REPORT | 2017-03-20 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
