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ALL AGES PEDIATRICS, PA

Company Details

Entity Name: ALL AGES PEDIATRICS, PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 17 Apr 2020 (5 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: P20000030283
FEI/EIN Number 85-0771120
Address: 2910 HOSPITAL DRIVE, BONIFAY, FL 32425
Mail Address: 2717 TALON CT, PANAMA CITY, FL 32405
ZIP code: 32425
County: Holmes
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932728995 2020-04-10 2020-04-22 2717 TALON CT, PANAMA CITY, FL, 324056672, US 2910 HOSPITAL DR, BONIFAY, FL, 324254268, US

Contacts

Phone +1 407-496-8095
Fax 8505478090
Phone +1 850-547-8158

Authorized person

Name KHALED AL-FARAWI
Role OWNER
Phone 4074968095

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

Agent

Name Role Address
HOWELL CPA GROUP Agent 408 W BALDWIN RD, PANAMA CITY, FL 32405

President

Name Role Address
AL-FARAWI, KHALED, MD President 2717 TALON CT, PANAMA CITY, FL 32405

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
ANNUAL REPORT 2022-02-22
ANNUAL REPORT 2021-03-11
Domestic Profit 2020-04-17

Date of last update: 15 Feb 2025

Sources: Florida Department of State