| Entity Name: | ALL PEDIATRICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Oct 2008 (16 years ago) |
| Document Number: | P08000092049 |
| FEI/EIN Number | 263539095 |
| Address: | 2615 WINDGUARD CIR, STE 102, WESLEY CHAPEL, FL, 33544, US |
| Mail Address: | 2615 WINDGUARD CIR, STE 102, WESLEY CHAPEL, FL, 33544, US |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588819155 | 2008-11-24 | 2008-11-24 | 2615 WINDGUARD CIR, STE 102, WESLEY CHAPEL, FL, 335447353, US | 2615 WINDGUARD CIR, STE 102, WESLEY CHAPEL, FL, 335447353, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 813-333-9991 |
| Fax | 8134667482 |
Authorized person
| Name | DR. SIVA PRASANNA DEVANABOYENA |
| Role | PRESIDENT |
| Phone | 8133339991 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME94439 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 2741442300 |
| State | FL |
| Issuer | SIVA P DEVANABOYENA INDIVIDUAL NPI |
| Number | 1518988823 |
| Name | Role |
|---|---|
| ALL PEDIATRICS, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| Chillikatil Ravi | Authorized Member | 2615 WINDGUARD CIR, STE 102, WESLEY CHAPEL, FL, 33544 |
| Name | Role | Address |
|---|---|---|
| Phimagham Premkanth | Manager | 2615 WINDGUARD CIR, STE 102, WESLEY CHAPEL, FL, 33544 |
| Sharma Nagaraja | Manager | 2615 WINDGUARD CIR, STE 102, WESLEY CHAPEL, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-04-16 | 2615 WINDGUARD CIR, STE 102, WESLEY CHAPEL, FL 33544 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-16 | All Pediatrics, P.A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-16 | 2615 WINDGUARD CIR, STE 102, WESLEY CHAPEL, FL 33544 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-02-10 | 2615 WINDGUARD CIR, STE 102, WESLEY CHAPEL, FL 33544 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-06-12 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-03-05 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-01-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
