Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Charlotte
    4. ›
  4. 33952
    5. ›
  5. CEPERO PEDIATRICS, P.A.

CEPERO PEDIATRICS, P.A.

Company Details

Entity Name: CEPERO PEDIATRICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 Jan 2012 (13 years ago)
Document Number: P12000010941
FEI/EIN Number 45-4535745
Address: 3488 DEPEW AVE, PORT CHARLOTTE, FL, 33952, US
Mail Address: 3488 DEPEW AVE, PORT CHARLOTTE, FL, 33952, US
ZIP code: 33952
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619233509 2012-04-05 2016-08-18 3488 DEPEW AVE, PORT CHARLOTTE, FL, 339527015, US 3488 DEPEW AVE, PORT CHARLOTTE, FL, 339527015, US

Contacts
Phone +1 941-764-7923
Fax 9417647927

Authorized person
Name BELKIS RAQUEL CEPERO
Role PEDIATRICIAN
Phone 9417647923

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
License Number ME99946
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 305872700
State FL
Issuer MEDICAID
Number 010456700
State FL
Issuer MEDICAID
Number 000402000
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CEPERO PEDIATRICS, P.A. 401K PLAN 2023 454535745 2024-05-22 CEPERO PEDIATRICS, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9417647923
Plan sponsor’s address 3488 DEPEW AVE., PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2024-05-22
Name of individual signing BELKIS CEPERO
Valid signature Filed with authorized/valid electronic signature
CEPERO PEDIATRICS, P.A. 401K PLAN 2022 454535745 2023-04-22 CEPERO PEDIATRICS, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9417647923
Plan sponsor’s address 3488 DEPEW AVE., PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2023-04-22
Name of individual signing BELKIS CEPERO
Valid signature Filed with authorized/valid electronic signature
CEPERO PEDIATRICS, P.A. 401K PLAN 2021 454535745 2022-08-05 CEPERO PEDIATRICS, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9417647923
Plan sponsor’s address 3488 DEPEW AVE., PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2022-08-05
Name of individual signing BELKIS CEPERO
Valid signature Filed with authorized/valid electronic signature
CEPERO PEDIATRICS, P.A. 401K PLAN 2020 454535745 2021-10-03 CEPERO PEDIATRICS, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9417647923
Plan sponsor’s address 3488 DEPEW AVE., PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2021-10-03
Name of individual signing BELKIS R CEPERO
Valid signature Filed with authorized/valid electronic signature
CEPERO PEDIATRICS, P.A. 401K PLAN 2019 454535745 2020-06-23 CEPERO PEDIATRICS, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9417647923
Plan sponsor’s address 3488 DEPEW AVE., PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2020-06-23
Name of individual signing BELKIS R CEPERO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-23
Name of individual signing BELKIS R CEPERO
Valid signature Filed with authorized/valid electronic signature
CEPERO PEDIATRICS, P.A. 401K PLAN 2018 454535745 2019-06-18 CEPERO PEDIATRICS, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9417647923
Plan sponsor’s address 3488 DEPEW AVE., PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2019-05-22
Name of individual signing BELKIS R CEPERO
Valid signature Filed with authorized/valid electronic signature
CEPERO PEDIATRICS, P.A. 401K PLAN 2017 454535745 2018-05-14 CEPERO PEDIATRICS, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9417647923
Plan sponsor’s address 3488 DEPEW AVE., PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2018-05-14
Name of individual signing BELKIS CEPERO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-14
Name of individual signing BELKIS CEPERO
Valid signature Filed with authorized/valid electronic signature
CEPERO PEDIATRICS, P.A. 401K PLAN 2016 454535745 2017-07-29 CEPERO PEDIATRICS, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9417647923
Plan sponsor’s address 3488 DEPEW AVE., PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2017-07-29
Name of individual signing BELKIS CEPERO
Valid signature Filed with authorized/valid electronic signature
CEPERO PEDIATRICS, P.A. 401K PLAN 2015 454535745 2016-06-29 CEPERO PEDIATRICS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9417647923
Plan sponsor’s address 3488 DEPEW AVE., PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2016-06-29
Name of individual signing BELKIS CEPERO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-29
Name of individual signing BELKIS CEPERO
Valid signature Filed with authorized/valid electronic signature
CEPERO PEDIATRICS, P.A. 401K PLAN 2014 454535745 2015-12-01 CEPERO PEDIATRICS, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 9417647923
Plan sponsor’s address 21234 OLEAN BLVD, SUITE 5, PORT CHARLOTTE, FL, 33952

Signature of
Role Plan administrator
Date 2015-12-01
Name of individual signing BELKIS CEPERO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-12-01
Name of individual signing BELKIS CEPERO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CEPERO BELKIS R Agent 3488 DEPEW AVE, PORT CHARLOTTE, FL, 33952

Director

Name Role Address
CEPERO BELKIS R Director 3488 DEPEW AVE, PORT CHARLOTTE, FL, 33952

Officer

Name Role Address
Campes Arsenio Officer 3488 Depew Avenue, Port Charlotte, FL, 33952

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2016-03-02 3488 DEPEW AVE, PORT CHARLOTTE, FL 33952 No data
CHANGE OF PRINCIPAL ADDRESS 2015-04-28 3488 DEPEW AVE, PORT CHARLOTTE, FL 33952 No data
CHANGE OF MAILING ADDRESS 2015-04-28 3488 DEPEW AVE, PORT CHARLOTTE, FL 33952 No data

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-03-12
ANNUAL REPORT 2022-02-06
ANNUAL REPORT 2021-02-12
ANNUAL REPORT 2020-04-16
ANNUAL REPORT 2019-03-12
ANNUAL REPORT 2018-02-19
AMENDED ANNUAL REPORT 2017-06-10
ANNUAL REPORT 2017-02-19
ANNUAL REPORT 2016-03-02

Related by officers

CEPERO BELKIS R

TRUST IN CARE, L.L.C.

Campes Arsenio

TRUST IN CARE, L.L.C.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated