| Entity Name: | SUNNY ISLES PEDIATRICS , PA. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Feb 2011 (14 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P11000017732 |
| FEI/EIN Number | 275077237 |
| Address: | 7832 COLLINS AVE, MIAMI BEACH, FL, 33141, US |
| Mail Address: | 7832 COLLINS AVE, MIAMI BEACH, FL, 33141, US |
| ZIP code: | 33141 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700185873 | 2011-03-15 | 2011-03-15 | 17395 N BAY RD, SUITE 203, SUNNY ISLES BEACH, FL, 331603334, US | 17395 N BAY RD, SUITE 203, SUNNY ISLES BEACH, FL, 331603334, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 786-230-6127 |
| Fax | 3058252163 |
Authorized person
| Name | MRS. MIRIAM ESTEVEZ |
| Role | PRESIDENT |
| Phone | 7862306127 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME79171 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 260364100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ESTEVEZ MIRIAM | Agent | 7832 COLLINS AVE, MIAMI BEACH, FL, 33141 |
| Name | Role | Address |
|---|---|---|
| ESTEVEZ MIRIAM | President | 7832 COLLINS AVE, MIAMI BEACH, FL, 33141 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-14 | 7832 COLLINS AVE, 205, MIAMI BEACH, FL 33141 | No data |
| CHANGE OF MAILING ADDRESS | 2013-01-14 | 7832 COLLINS AVE, 205, MIAMI BEACH, FL 33141 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-14 | 7832 COLLINS AVE, 205, MIAMI BEACH, FL 33141 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-02-12 |
| ANNUAL REPORT | 2015-02-18 |
| ANNUAL REPORT | 2014-02-21 |
| ANNUAL REPORT | 2013-01-14 |
| ANNUAL REPORT | 2012-03-20 |
| Domestic Profit | 2011-02-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
