| Entity Name: | YOUR HEALTH PEDIATRICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Aug 2016 (9 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 28 Dec 2016 (8 years ago) |
| Document Number: | P16000067343 |
| FEI/EIN Number | 814042224 |
| Address: | 201 HILDA STREET, KISSIMMEE, FL, 34741, US |
| Mail Address: | 201 HILDA STREET, KISSIMMEE, FL, 34741, US |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932643368 | 2016-12-03 | 2018-11-01 | 201 HILDA ST, # 15, KISSIMMEE, FL, 347412320, US | 201 HILDA ST STE 15, KISSIMMEE, FL, 347412359, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 407-574-4848 |
| Fax | 4075181919 |
| Phone | +1 407-780-9836 |
Authorized person
| Name | DR. MARTHA IVON ACOSTA |
| Role | PRESIDENT |
| Phone | 8632420188 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ACN253 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000491400 |
| State | FL |
| Issuer | MEDICAID |
| Number | 019435800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ACOSTA MARTHA I | Agent | 201 HILDA ST, KISSIMMEE, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| ACOSTA MARTHA I | President | 201 HILDA ST, KISSIMMEE, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| ACOSTA SAMUEL DSr. | Chief Financial Officer | 201 HILDA ST, KISSIMME, FL, 34741 |
| Name | Role | Address |
|---|---|---|
| ACOSTA MARTHA I | Secretary | 201 HILDA ST, KISSIMMEE, FL, 34741 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000000311 | YOUR HEALTH ADULT CARE | EXPIRED | 2019-01-02 | 2024-12-31 | No data | 201 HILDA ST. SUITE 15, KISSIMMEE, FL, 34741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-29 | 201 HILDA ST, SUITE 10, KISSIMMEE, FL 34741 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-19 | 201 HILDA STREET, SUITE 10, KISSIMMEE, FL 34741 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-10 | 201 HILDA STREET, SUITE 10, KISSIMMEE, FL 34741 | No data |
| AMENDMENT AND NAME CHANGE | 2016-12-28 | YOUR HEALTH PEDIATRICS, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-08 |
| Amendment and Name Change | 2016-12-28 |
| Domestic Profit | 2016-08-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
