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PEDIATRIC ASSOCIATES OF TAMPA BAY, INC. - Florida Company Profile

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Company Details

Entity Name: PEDIATRIC ASSOCIATES OF TAMPA BAY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 21 Mar 2013 (12 years ago)
Date of dissolution: 04 Oct 2013 (12 years ago)
Last Event: CONVERSION
Event Date Filed: 04 Oct 2013 (12 years ago)
Document Number: P13000026642
FEI/EIN Number 800907556
Address: 900 S. Pine Island Road, Suite 800, PLANTATION, FL, 33324, US
Mail Address: 900 S. Pine Island Road, Suite 800, PLANTATION, FL, 33324, US
ZIP code: 33324
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHULMAN PETER JM.D. Director 4620 N. STATE ROAD 7, BLDG.H, SUITE 316, LAUDERDALE LAKES, FL, 33319
ROGERS JOSEPH Agent 4620 N. STATE ROAD 7, LAUDERDALE LAKES, FL, 33319

National Provider Identifier

NPI Number:
1649618299
Certification Date:
2020-08-25

Authorized Person:

Name:
DR. PETER J SHULMAN
Role:
PRESIDENT/CEO
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
9549657339
Fax:
8136548129

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2013-10-16 900 S. Pine Island Road, Suite 800, PLANTATION, FL 33324 -
CHANGE OF MAILING ADDRESS 2013-10-16 900 S. Pine Island Road, Suite 800, PLANTATION, FL 33324 -
CONVERSION 2013-10-04 - CONVERSION MEMBER. RESULTING CORPORATION WAS L13000141741. CONVERSION NUMBER 300000134723

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J21000484638 TERMINATED 1000000902216 PINELLAS 2021-09-17 2041-09-22 $ 2,070.86 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149

Documents

Name Date
Domestic Profit 2013-03-21

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Date of last update: 01 Aug 2025

Sources: Florida Department of State