| Entity Name: | PEDIKIDZ OF PALM BEACH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Jul 2020 (5 years ago) |
| Document Number: | P20000056699 |
| FEI/EIN Number | 35-2693159 |
| Address: | 2311 10th Ave N, Unit 13, Lake Worth, FL, 33461, US |
| Mail Address: | 2311 10th Ave N, Ste 13, Lake Worth, FL, 33461, US |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982487468 | 2023-08-17 | 2023-08-17 | 2311 10TH AVE N STE 12, LAKE WORTH, FL, 334616605, US | 2311 10TH AVE N STE 12, LAKE WORTH, FL, 334616605, US | |||||||||||||||
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| Phone | +1 561-585-7732 |
| Fax | 5615857793 |
Authorized person
| Name | MARIAN MACIAS |
| Role | DIRECTOR |
| Phone | 5615857732 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MACIAS MARIAN | Agent | 2311 10th Ave N, Suite 13, Lake Worth, FL, 33461 |
| Name | Role | Address |
|---|---|---|
| MACIAS MARIAN | President | 117 HIDDEN HOLLOW DRIVE, PALM BEACH GARDENS, FL, 33418 |
| Name | Role | Address |
|---|---|---|
| Rebecca Beltran | Vice President | 11190 SW 78 Court, Pinecrest, FL, 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-03 | 2311 10th Ave N, Unit 13, Lake Worth, FL 33461 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-02 | 2311 10th Ave N, Unit 13, Lake Worth, FL 33461 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-02 | 2311 10th Ave N, Suite 13, Lake Worth, FL 33461 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-04-02 |
| Domestic Profit | 2020-07-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
