| Entity Name: | PEDIATRIC ABA 10 INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| 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: | P18000035951 |
| Address: | 4399 COMMONS DR EAST SUITE 100, DESTIN, FL, 32541 |
| Mail Address: | 4399 COMMONS DR EAST SUITE 100, DESTIN, FL, 32541 |
| ZIP code: | 32541 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467943662 | 2018-05-23 | 2018-05-23 | 4399 COMMONS DR E STE 100, DESTIN, FL, 325418413, US | 4399 COMMONS DR E STE 100, DESTIN, FL, 325418413, 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 | 4399 COMMONS DR EAST SUITE 100, DESTIN, FL, 32541 |
| 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 |
| 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: 01 Feb 2025
Sources: Florida Department of State
