| Entity Name: | PEDIATRIC ABA 5 INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 09 Mar 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P18000022575 |
| Address: | 5623 US 19 UNIT 259, NEW PORT RICHEY, FL 34652 |
| Mail Address: | 5623 US 19 UNIT 259, NEW PORT RICHEY, FL 34652 |
| ZIP code: | 34652 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124516752 | 2018-04-30 | 2018-04-30 | 5623 US HIGHWAY 19 STE 259, NEW PRT RCHY, FL, 346523752, US | 5623 US HIGHWAY 19 STE 259, NEW PRT RCHY, FL, 346523752, US | |||||||||||||
|
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| Phone | +1 786-597-2047 |
Authorized person
| Name | WANDY CACERES |
| Role | CEO |
| Phone | 7865972047 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CACERES, WANDY | Agent | 5623 US 19 UNIT 259, NEW PORT RICHEY, FL 34652 |
| Name | Role | Address |
|---|---|---|
| CACERES, WANDY | President | 16401 SW 72ND TERRACE, MIAMI, FL 33193 |
| Name | Role | Address |
|---|---|---|
| CACERES, WANDY | Secretary | 16401 SW 72ND TERRACE, MIAMI, FL 33193 |
| Name | Role | Address |
|---|---|---|
| CACERES, WANDY | Director | 16401 SW 72ND TERRACE, MIAMI, FL 33193 |
| Name | Role | Address |
|---|---|---|
| PORTELA, CARLOS | Vice President | 8349 BELLA GROVE CIR UNIT 302, SARASOTA, FL 34243 |
| Name | Role | Address |
|---|---|---|
| PORTELA, CARLOS | Treasurer | 8349 BELLA GROVE CIR UNIT 302, SARASOTA, FL 34243 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2015-03-09 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
