| Entity Name: | SANDHILL PEDIATRICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Jan 2018 (7 years ago) |
| Document Number: | P18000007865 |
| FEI/EIN Number | 824286982 |
| Address: | 21758 STATE ROAD 54, LUTZ, FL, 33549, US |
| Mail Address: | 21758 STATE ROAD 54, LUTZ, FL, 33549, US |
| ZIP code: | 33549 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902302748 | 2018-04-02 | 2020-01-15 | 21758 STATE ROAD 54, LUTZ, FL, 335496921, US | 21758 STATE ROAD 54, LUTZ, FL, 335496921, US | |||||||||||||||||
|
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| Phone | +1 813-563-6070 |
| Fax | 8135636040 |
Authorized person
| Name | WENDY J MASTERMAN |
| Role | PHYSICIAN |
| Phone | 8135636070 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MASTERMAN JACOB | Agent | 21758 STATE ROAD 54, LUTZ, FL, 335496921 |
| Name | Role | Address |
|---|---|---|
| MASTERMAN WENDY | President | 21758 STATE ROAD 54, LUTZ, FL, 33549 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000075730 | SANDHILL PEDIATRICS | ACTIVE | 2018-07-11 | 2028-12-31 | No data | 21758 STATE ROAD 54, LUTZ, FL, 33549 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2018-06-22 | MASTERMAN, JACOB | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-06-22 | 21758 STATE ROAD 54, LUTZ, FL 33549-6921 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-06-04 | 21758 STATE ROAD 54, LUTZ, FL 33549 | No data |
| CHANGE OF MAILING ADDRESS | 2018-06-04 | 21758 STATE ROAD 54, LUTZ, FL 33549 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-01-15 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-01-31 |
| Reg. Agent Change | 2018-06-22 |
| Domestic Profit | 2018-01-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
