| Entity Name: | DC PEDIATRICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 03 Mar 2011 (14 years ago) |
| Date of dissolution: | 31 Jan 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 31 Jan 2022 (3 years ago) |
| Document Number: | P11000021999 |
| FEI/EIN Number | 80-0690718 |
| Address: | 1603 S HIAWASSEE RD, SUITE 110, ORLANDO, FL 32835 |
| Mail Address: | 1603 S HIAWASSEE RD, SUITE 110, ORLANDO, FL 32835 |
| ZIP code: | 32835 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891184271 | 2015-01-22 | 2015-01-22 | 1603 S HIAWASSEE RD, SUITE 110, ORLANDO, FL, 328356438, US | 1603 S HIAWASSEE RD, SUITE 110, ORLANDO, FL, 328356438, US | |||||||||||||||||||||||
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| Phone | +1 407-578-8600 |
Authorized person
| Name | DAVID CRISPIN SR. |
| Role | PRESIDENT |
| Phone | 4075788600 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME93409 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003372600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CRISPIN, DAVID SR. | Agent | 1603 S HIAWASSEE RD, SUITE 110, ORLANDO, FL 32835 |
| Name | Role | Address |
|---|---|---|
| CRISPIN, DAVID SR. | President | 1603 S HIAWASSEE RD, SUITE 110 ORLANDO, FL 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-01-31 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-12 | 1603 S HIAWASSEE RD, SUITE 110, ORLANDO, FL 32835 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-07-08 | 1603 S HIAWASSEE RD, SUITE 110, ORLANDO, FL 32835 | No data |
| CHANGE OF MAILING ADDRESS | 2014-07-08 | 1603 S HIAWASSEE RD, SUITE 110, ORLANDO, FL 32835 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-01-31 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-22 |
| ANNUAL REPORT | 2013-01-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7721057305 | 2020-04-30 | 0491 | PPP | 1603 South Hiawassee Road 110, Orlando, FL, 32835 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 23 Feb 2025
Sources: Florida Department of State
