| Entity Name: | KATZ PEDIATRICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 30 Jan 2012 (13 years ago) |
| Document Number: | P12000010401 |
| FEI/EIN Number | 45-4425907 |
| Mail Address: | 2335 Hope Ln E, Palm Beach Gardens, FL 33410 |
| Address: | 1050 SE MONTEREY, SUITE #301, STUART, FL 34994 |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942553144 | 2012-10-25 | 2012-10-25 | 1050 SE MONTEREY RD, STE 302, STUART, FL, 349944512, US | 1050 SE MONTEREY RD, STE 302, STUART, FL, 349944512, US | |||||||||||||||||||||||||
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| Phone | +1 772-678-7474 |
| Fax | 7726787475 |
Authorized person
| Name | DR. SARRIE FELDMAN KATZ |
| Role | OWNER |
| Phone | 7726787474 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME95676 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 277135700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KATZ, SARRIE M.D. | Agent | 2335 Hope Ln E, Palm Beach Gardens, FL 33410 |
| Name | Role | Address |
|---|---|---|
| KATZ, SARRIE | President | 2335 Hope Ln E, Palm Beach Gardens, FL 33410 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000025654 | KATZ PEDIATRICS, P.A. | ACTIVE | 2012-03-14 | 2027-12-31 | No data | 1050 SE MONTEREY RD, SUITE 301, STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2018-01-07 | 1050 SE MONTEREY, SUITE #301, STUART, FL 34994 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-07 | 2335 Hope Ln E, Palm Beach Gardens, FL 33410 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-10 | 1050 SE MONTEREY, SUITE #301, STUART, FL 34994 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-05 |
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-13 |
| ANNUAL REPORT | 2022-01-03 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-04 |
| ANNUAL REPORT | 2019-01-04 |
| ANNUAL REPORT | 2018-01-07 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-10 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
