| Entity Name: | HAPPY KIDS PEDIATRIC CLINIC PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Jun 2018 (7 years ago) |
| Document Number: | P18000054362 |
| FEI/EIN Number | 83-0958150 |
| Address: | 5640 W. Atlantic Blvd, MARGATE, FL, 33063, US |
| Mail Address: | 5640 W. Atlantic Blvd, MARGATE, FL, 33063, US |
| ZIP code: | 33063 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760960819 | 2018-07-31 | 2024-03-30 | 1228 GOLDEN CANE DR, WESTON, FL, 333272423, US | 5640 W ATLANTIC BLVD, MARGATE, FL, 330634523, US | |||||||||||||||||||
|
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| Phone | +1 954-657-8060 |
| Fax | 8665252237 |
Authorized person
| Name | DR. CARMEN RAFAELA MEJIA-CARVAJAL |
| Role | PEDIATRICIAN |
| Phone | 9547169728 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | 116888 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTIN JESUS | Agent | 1228 GOLDEN CANE DR., WESTON, FL, 33327 |
| Name | Role | Address |
|---|---|---|
| MEJIA_CARVAJAL CARMEN | Chief Executive Officer | 1228 GOLDEN CANE DR., WESTON, FL, 33327 |
| Name | Role | Address |
|---|---|---|
| MARTIN JESUS | Chief Financial Officer | 1228 GOLDEN CANE DR., WESTON, FL, 33327 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-12 | 5640 W. Atlantic Blvd, MARGATE, FL 33063 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-12 | 5640 W. Atlantic Blvd, MARGATE, FL 33063 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-03-29 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-03-13 |
| ANNUAL REPORT | 2019-03-18 |
| Domestic Profit | 2018-06-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
