| Entity Name: | DE LA VEGA PEDIATRICS CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Feb 2009 (16 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 20 May 2019 (6 years ago) |
| Document Number: | P09000014470 |
| FEI/EIN Number | 264275829 |
| Address: | 12781 World Plaza LN, BLDG 88, Suite 1, FORT MYERS, FL, 33907, US |
| Mail Address: | 12781 World Plaza LN, BLDG 88, Suite 1, FORT MYERS, FL, 33907, US |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790066983 | 2011-09-01 | 2023-03-25 | 12781 WORLD PLAZA LN STE 1, FORT MYERS, FL, 339074078, US | 12781 WORLD PLAZA LN STE 1, FORT MYERS, FL, 339074078, US | |||||||||||||||||||||||||||
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| Phone | +1 239-277-5877 |
| Fax | 2392771354 |
Authorized person
| Name | TATIANA DE LA VEGA |
| Role | OFFICE MANAGER |
| Phone | 2392775877 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME101292 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME101292 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DE LA VEGA ARNALDO | Agent | 12781 World Plaza LN, FORT MYERS, FL, 33907 |
| Name | Role | Address |
|---|---|---|
| DE LA VEGA ARNALDO D | President | 12781 World Plaza LN, FORT MYERS, FL, 33907 |
| Name | Role | Address |
|---|---|---|
| DE LA VEGA NIDIA E | Vice President | 12781 World Plaza LN, FORT MYERS, FL, 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-20 | 12781 World Plaza LN, BLDG 88, Suite 1, FORT MYERS, FL 33907 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-20 | 12781 World Plaza LN, BLDG 88, Suite 1, FORT MYERS, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-20 | 12781 World Plaza LN, BLDG 88, Suite 1, FORT MYERS, FL 33907 | No data |
| NAME CHANGE AMENDMENT | 2019-05-20 | DE LA VEGA PEDIATRICS CORP. | No data |
| NAME CHANGE AMENDMENT | 2018-09-27 | DE LA VEGA FAMILY HEALTH CENTER CORP. | No data |
| REGISTERED AGENT NAME CHANGED | 2016-09-28 | DE LA VEGA, ARNALDO | No data |
| REINSTATEMENT | 2016-09-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-02-14 |
| Name Change | 2019-05-20 |
| ANNUAL REPORT | 2019-04-08 |
| Name Change | 2018-09-27 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
