| Entity Name: | ADVANCED PEDIATRICS P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 11 Oct 2010 (14 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 14 Aug 2023 (a year ago) |
| Document Number: | P10000082941 |
| FEI/EIN Number | 27-3674883 |
| Address: | 3712 WINTER GARDEN VINELAND ROAD, WINTER GARDEN, FL 34787 |
| Mail Address: | 3712 WINTER GARDEN VINELAND ROAD, WINTER GARDEN, FL 34787 |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952602286 | 2010-11-03 | 2024-02-06 | 3712 WINTER GARDEN VINELAND RD, WINTER GARDEN, FL, 347875483, US | 3712 WINTER GARDEN VINELAND RD, WINTER GARDEN, FL, 347875483, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 407-656-2229 |
| Fax | 4076560998 |
| Phone | +1 352-394-7125 |
Authorized person
| Name | DR. AISHA FIRDOS ASIF |
| Role | DIRECTOR |
| Phone | 9095695409 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA LICENSE NUMBER |
| Number | ME131571 |
| State | FL |
| Issuer | MEDICAID |
| Number | 003191900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 102155600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SUBHANI, DAWOOD | Agent | 3712 WINTER GARDEN VINELAND ROAD, WINTER GARDEN, FL 34787 |
| Name | Role | Address |
|---|---|---|
| ASIF, AISHA, MD | Director | 3712 WINTER GARDEN VINELAND ROAD, WINTER GARDEN, FL 34787 |
| SUBHANI, DAWOOD | Director | 3712 WINTER GARDEN VINELAND ROAD, WINTER GARDEN, FL 34787 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2023-08-14 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-08-14 | 3712 WINTER GARDEN VINELAND ROAD, WINTER GARDEN, FL 34787 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-08-14 | SUBHANI, DAWOOD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-08-14 | 3712 WINTER GARDEN VINELAND ROAD, WINTER GARDEN, FL 34787 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| Amendment | 2023-08-14 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-02-11 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
