| Entity Name: | KIDSVILLE PEDIATRICS VII, P.A. AFTER HOURS WALK-IN CLINIC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Jun 2011 (14 years ago) |
| Document Number: | P11000052190 |
| FEI/EIN Number | 452389939 |
| Address: | 2201 NORTH BOULEVARD W, DAVENPORT, FL, 33837 |
| Mail Address: | P O BOX 452223, KISSIMMEE, FL, 34745, US |
| ZIP code: | 33837 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538453428 | 2011-06-08 | 2019-08-13 | 2201 NORTH BLVD W, DAVENPORT, FL, 338378990, US | 2201 NORTH BLVD W, DAVENPORT, FL, 338378990, US | |||||||||||||||||||
|
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| Phone | +1 863-419-0688 |
| Fax | 8634199547 |
Authorized person
| Name | MR. VICTOR MANUEL PANTOJA JR. |
| Role | CFO/COO |
| Phone | 8634190688 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME-0074421 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PANTOJA VICTOR MJr. | Agent | 2201 NORTH BOULEVARD W, DAVENPORT, FL, 33837 |
| Name | Role | Address |
|---|---|---|
| PANTOJA VICTOR MJr. | President | P O BOX 452223, KISSIMMEE, FL, 34745 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ FRANCELIS I | Chief Executive Officer | P O BOX 452223, KISSIMMEE, FL, 34745 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2014-03-11 | 2201 NORTH BOULEVARD W, DAVENPORT, FL 33837 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-11 | 2201 NORTH BOULEVARD W, DAVENPORT, FL 33837 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-03-03 | PANTOJA, VICTOR M., Jr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-03-10 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-02-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
