| Entity Name: | PED-E-CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 02 Oct 2009 (15 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P09000081969 |
| FEI/EIN Number | 271321400 |
| Address: | 540 STATE RD 13 NORTH, 104, FRUIT COVE, FL, 32259 |
| Mail Address: | 959 BAYSIDE BLUFF ROAD, SWITZERLAND, FL, 32259 |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003123696 | 2010-09-03 | 2010-09-03 | 540 STATE ROAD 13, SUITE 104, FRUIT COVE, FL, 322593872, US | 540 STATE ROAD 13, SUITE 104, FRUIT COVE, FL, 322593872, US | |||||||||||||||||||||||
|
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| Phone | +1 904-814-8209 |
Authorized person
| Name | MRS. JANE T PARK |
| Role | DIRECTOR OF NURSING |
| Phone | 9046084688 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| License Number | 60080992 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PPEC LICENSE NUMBER |
| Number | 60080992 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COLD KATHLEEN H | Agent | ONE INDEPENDENT DRIVE, JACKSONVILLE, FL, 32202 |
| Name | Role | Address |
|---|---|---|
| CHIAFAIR JOSEPH G | President | 959 BAYSIDE BLUFF ROAD, JACKSONVILLE, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| CHIAFIAR ELLEN J | Vice President | 959 BAYSIDE BLUFF ROAD, JACKSONVILLE, FL, 32259 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000177611 | PARC PLACE | EXPIRED | 2009-11-24 | 2014-12-31 | No data | 959 BAYSIDE BLUFF ROAD, JACKSONVILLE, FL, 32259 |
| G09000177612 | PEDIATRIC ADVANCED REHABILITATIVE CARE PLACE | EXPIRED | 2009-11-24 | 2014-12-31 | No data | 959 BAYSIDE BLUFF ROAD, JACKSONVILLE, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-13 | 540 STATE RD 13 NORTH, 104, FRUIT COVE, FL 32259 | No data |
| CHANGE OF MAILING ADDRESS | 2010-01-13 | 540 STATE RD 13 NORTH, 104, FRUIT COVE, FL 32259 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-01-13 |
| Domestic Profit | 2009-10-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
