Entity Name: | FAST TRACK PEDIATRICS INC |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 23 Apr 2009 (16 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 29 Nov 2010 (14 years ago) |
Document Number: | P09000036493 |
FEI/EIN Number | 264737213 |
Address: | 1133 S E 18th Place, OCALA, FL, 34471, US |
Mail Address: | 1133 S E 18th Place, OCALA, FL, 34471, US |
ZIP code: | 34471 |
County: | Marion |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1225496821 | 2016-02-10 | 2016-02-10 | 1133 SE 18TH PL STE 1, OCALA, FL, 344715404, US | 1133 SE 18TH PL STE 1, OCALA, FL, 344715404, US | |||||||||||||||||||||||||||||||
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Phone | +1 352-433-2633 |
Fax | 3524332644 |
Authorized person
Name | DR. ADEBAYO ODUNLAMI |
Role | DOCTOR/OWNER |
Phone | 3524332633 |
Taxonomy
Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
License Number | ME 101959 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 000044901 |
State | FL |
Issuer | PERSONAL NPI |
Number | 1326000456 |
State | FL |
Name | Role | Address |
---|---|---|
ODUNLAMI ADEBAYO | Agent | 1133 S E 18th Place, OCALA, FL, 34471 |
Name | Role | Address |
---|---|---|
ODUNLAMI ADEBAYO | President | 1133 S E 18th Place, OCALA, FL, 34471 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2013-01-06 | 1133 S E 18th Place, Unit 1, OCALA, FL 34471 | No data |
CHANGE OF MAILING ADDRESS | 2013-01-06 | 1133 S E 18th Place, Unit 1, OCALA, FL 34471 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2013-01-06 | 1133 S E 18th Place, Unit 1, OCALA, FL 34471 | No data |
REINSTATEMENT | 2010-11-29 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-28 |
ANNUAL REPORT | 2023-03-31 |
ANNUAL REPORT | 2022-02-24 |
ANNUAL REPORT | 2021-03-16 |
ANNUAL REPORT | 2020-03-21 |
ANNUAL REPORT | 2019-04-06 |
ANNUAL REPORT | 2018-03-31 |
ANNUAL REPORT | 2017-03-25 |
ANNUAL REPORT | 2016-04-01 |
ANNUAL REPORT | 2015-02-04 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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9872318303 | 2021-01-31 | 0491 | PPS | 1133 SE 18th Pl Ste 1, Ocala, FL, 34471-5404 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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2218437203 | 2020-04-15 | 0491 | PPP | 1133 SE 18TH PL Suite 1, OCALA, FL, 34471-5404 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State