| Entity Name: | FKPPEC4, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Nov 2021 (3 years ago) |
| Document Number: | P21000096788 |
| FEI/EIN Number | 87-3580105 |
| Mail Address: | 6515 TAFT STREET, HOLLYWOOD, FL, 33024 |
| Address: | 7202 WEST COLONIAL DRIVE, ORLANDO, FL, 32818 |
| ZIP code: | 32818 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255083424 | 2022-01-19 | 2022-01-19 | 6515 TAFT ST, HOLLYWOOD, FL, 330244008, US | 7202 W COLONIAL DR, ORLANDO, FL, 328186743, US | |||||||||||||
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| Phone | +1 866-635-7732 |
Authorized person
| Name | JONATHAN DAVID CARVAJAL |
| Role | CHIEF COMPLIANCE OFFICER |
| Phone | 3057965103 |
Taxonomy
| Taxonomy Code | 3140N1450X - Pediatric Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MANRARA & ASSOCIATES, PA | Agent | 215 N NEW RIVER DR E, FT LAUDERDALE, FL, 33301 |
| Name | Role | Address |
|---|---|---|
| ISSA MOISES DR. | President | 6515 TAFT STREET, HOLLYWOOD, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| HERRERA JUAN M | Vice President | 6515 TAFT STREET, HOLLYWOOD, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| CERDA MANUEL | Chief Operating Officer | 6515 TAFT STREET, HOLLYWOOD, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| ORDOQUI CARLOS DR. | Chief Strategy Officer | 6515 TAFT STREET, HOLLYWOOD, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| CARVAJAL JONATHAN DESQ. | Chief Compliance Officer | 6515 TAFT STREET, HOLLYWOOD, FL, 33024 |
| Name | Role |
|---|---|
| FIRST KID'S PPEC, INC. | Chief Executive Officer |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-16 | 215 N NEW RIVER DR E, C/O JONATHAN CARVAJAL, 1205, FT LAUDERDALE, FL 33301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-01-25 |
| Domestic Profit | 2021-11-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
