| Entity Name: | PINNACLES PEDS CARE PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Mar 2010 (15 years ago) |
| Document Number: | P10000027407 |
| FEI/EIN Number | 272238494 |
| Address: | 180 PINNACLES DRIVE, 100, PALM COAST, FL, 32164 |
| Mail Address: | 180 PINNACLES DRIVE, 100, PALM COAST, FL, 32164 |
| ZIP code: | 32164 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194033753 | 2010-09-16 | 2010-09-16 | 3 COLLEGE CT, PALM COAST, FL, 321379034, US | 180 PINNACLES DR, SUITE 100, PALM COAST, FL, 321642596, US | |||||||||||||||||
|
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| Phone | +1 386-313-1963 |
Authorized person
| Name | DR. VINCENT G VERDEFLOR |
| Role | DIRECTOR |
| Phone | 3865972298 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME 97678 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VERDEFLOR VINCENT | Agent | 3 COLLEGE CT, PALM COAST, FL, 32137 |
| Name | Role | Address |
|---|---|---|
| VERDEFLOR VINCENT | President | 3 COLLEGE CT, PALM COAST, FL, 32137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-26 | 180 PINNACLES DRIVE, 100, PALM COAST, FL 32164 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-26 | 180 PINNACLES DRIVE, 100, PALM COAST, FL 32164 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-27 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
