| Entity Name: | PEDIATRIC ABA 9 INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 19 Apr 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: | P18000035948 |
| Address: | 100 SOUTH BEACH STREET SUITE 204, DAYTONA BEACH, FL 32114 |
| Mail Address: | 100 SOUTH BEACH STREET SUITE 204, DAYTONA BEACH, FL 32114 |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144711334 | 2018-05-23 | 2018-05-23 | 200 S BEACH ST STE 204, DAYTONA BEACH, FL, 321144404, US | 200 S BEACH ST STE 204, DAYTONA BEACH, FL, 321144404, US | |||||||||||||
|
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| Phone | +1 786-597-2047 |
Authorized person
| Name | WANDY CACERES |
| Role | OWNER |
| Phone | 7865972047 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CACERES, WANDY | Agent | 100 SOUTH BEACH STREET SUITE 204, DAYTONA BEACH, FL 32114 |
| Name | Role | Address |
|---|---|---|
| CACERES, WANDY | President | 100 SOUTH BEACH STREET SUITE 204, DAYTONA BEACH, FL 32114 |
| Name | Role | Address |
|---|---|---|
| CACERES, WANDY | Secretary | 100 SOUTH BEACH STREET SUITE 204, DAYTONA BEACH, FL 32114 |
| Name | Role | Address |
|---|---|---|
| CACERES, WANDY | Director | 100 SOUTH BEACH STREET SUITE 204, DAYTONA BEACH, FL 32114 |
| PORTELA, CARLOS | Director | 8349 BELLA GROVE CIR UNIT 302, SARASOTA, FL 34243 |
| 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 | 2018-04-19 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
