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FOUNTAIN PEDIATRICS, INC.

Company Details

Entity Name: FOUNTAIN PEDIATRICS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 Nov 2020 (4 years ago)
Document Number: P20000088758
FEI/EIN Number 85-3923212
Address: 9814 49TH AVE N, ST. PETERSBURG, FL, 33708, US
Mail Address: 9814 49TH AVE N, ST. PETERSBURG, FL, 33708, US
ZIP code: 33708
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417684085 2022-08-04 2022-08-04 9814 49TH AVE N, ST PETERSBURG, FL, 337083634, US 9814 49TH AVE N, ST PETERSBURG, FL, 337083634, US

Contacts

Phone +1 813-850-4816

Authorized person

Name KARA LEE MIHELICH
Role OWNER/DIRECTOR
Phone 8138504816

Taxonomy

Taxonomy Code 225XP0200X - Pediatric Occupational Therapist
Is Primary Yes

Agent

Name Role Address
MIHELICH KARA L Agent 9814 49TH AVE N, ST. PETERSBURG, FL, 33708

President

Name Role Address
MIHELICH KARA L President 9814 49TH AVE N, ST. PETERSBURG, FL, 33708

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-03-21 9814 49TH AVE N, ST. PETERSBURG, FL 33708 No data
CHANGE OF MAILING ADDRESS 2021-03-21 9814 49TH AVE N, ST. PETERSBURG, FL 33708 No data
REGISTERED AGENT ADDRESS CHANGED 2021-03-21 9814 49TH AVE N, ST. PETERSBURG, FL 33708 No data

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-03-04
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-03-21
Domestic Profit 2020-11-05

Date of last update: 02 Feb 2025

Sources: Florida Department of State