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J CAPOTE PEDIATRICS, P.A.

Company Details

Entity Name: J CAPOTE PEDIATRICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 May 2018 (7 years ago)
Document Number: P18000048286
FEI/EIN Number 830697170
Address: 6995 Professional Pkwy East, Lakewood Ranch, FL, 34240, US
Mail Address: 6995 Professional Pkwy East, Lakewood Ranch, FL, 34240, US
ZIP code: 34240
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740764349 2018-09-19 2018-09-19 6995 PROFESSIONAL PARKWAY E, UNIT C, SARASOTA, FL, 34240, US 6995 PROFESSIONAL PARKWAY EAST, UNIT C, SARASOTA, FL, 34240, US

Contacts

Phone +1 941-355-9374
Fax 9413559379

Authorized person

Name DR. JESSICA CAPOTE
Role OWNER
Phone 9413559374

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAL LICSENSE
Number ME90071
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
J CAPOTE PEDIATRICS, P.A. 401(K) PLAN 2023 830697170 2024-09-06 J CAPOTE PEDIATRICS, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9418560301
Plan sponsor’s address 6995 PROFESSIONAL PKWY E, SARASOTA, FL, 34240
J CAPOTE PEDIATRICS, P.A. 401(K) PLAN 2022 830697170 2023-07-20 J CAPOTE PEDIATRICS, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9418560301
Plan sponsor’s address 6995 PROFESSIONAL PKWY E, SARASOTA, FL, 34240
J CAPOTE PEDIATRICS, P.A. 401(K) PLAN 2021 830697170 2022-07-22 J CAPOTE PEDIATRICS, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9418560301
Plan sponsor’s address 6995 PROFESSIONAL PKWY E, SARASOTA, FL, 34240
J CAPOTE PEDIATRICS, P.A. 401(K) PLAN 2020 830697170 2021-07-22 J CAPOTE PEDIATRICS, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9418560301
Plan sponsor’s address 6995 PROFESSIONAL PKWY E, SARASOTA, FL, 34240

Plan administrator’s name and address

Administrator’s EIN 810733839
Plan administrator’s name FIDUCIARY SHIELD
Plan administrator’s address 2328 MANATEE AVENUE WEST, SUITE 100, BRADENTON, FL, 34205
Administrator’s telephone number 9417614015
J CAPOTE PEDIATRICS, P.A. 401(K) PLAN 2019 830697170 2020-07-23 J CAPOTE PEDIATRICS, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 9418560301
Plan sponsor’s address 6995 PROFESSIONAL PKWY E, SARASOTA, FL, 34240

Agent

Name Role Address
ROBERT M SHINDLER CPA PA Agent 2429 MANATEE AVE E, BRADENTON, FL, 34208

President

Name Role Address
CAPOTE JESSICA Dr. President 6423 28th Ave E, BRADENTON, FL, 34208

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000093084 CAPOTE PEDIATRICS ACTIVE 2018-08-21 2028-12-31 No data 6995 PROFESSIONAL PKWY E, STE C, SARASOTA, FL, 34240

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-01-16 2429 MANATEE AVE E, #3, BRADENTON, FL 34208 No data
CHANGE OF PRINCIPAL ADDRESS 2019-02-07 6995 Professional Pkwy East, Lakewood Ranch, FL 34240 No data
CHANGE OF MAILING ADDRESS 2019-02-07 6995 Professional Pkwy East, Lakewood Ranch, FL 34240 No data

Documents

Name Date
ANNUAL REPORT 2024-01-16
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-02-24
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-03-04
ANNUAL REPORT 2019-02-07
Domestic Profit 2018-05-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State