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SPECIALIZED CARE PEDIATRICS INC

Company Details

Entity Name: SPECIALIZED CARE PEDIATRICS INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 31 Aug 2022 (2 years ago)
Document Number: P22000068789
FEI/EIN Number 88-3981264
Address: 11201 N. 56TH ST, Temple Terrace, FL 33617
Mail Address: 11201 N. 56TH ST, Temple Terrace, FL 33617
ZIP code: 33617
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407552524 2023-01-31 2023-06-22 11201 N 56TH ST, TEMPLE TERRACE, FL, 336172233, US 11201 N 56TH ST, TEMPLE TERRACE, FL, 336172233, US

Contacts

Phone +1 813-350-0020
Fax 8133500025

Authorized person

Name MRS. SENUA I RODRIGUEZ
Role CEO
Phone 8133500020

Taxonomy

Taxonomy Code 3140N1450X - Pediatric Skilled Nursing Facility
Is Primary Yes

Agent

Name Role Address
RODRIGUEZ, SENUA Agent 11201 N. 56TH ST, Temple Terrace, FL 33617

President

Name Role Address
RODRIGUEZ, SENUA President 11201 N. 56TH ST, Temple Terrace, FL 33617

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-06-28 11201 N. 56TH ST, Temple Terrace, FL 33617 No data
CHANGE OF MAILING ADDRESS 2023-06-28 11201 N. 56TH ST, Temple Terrace, FL 33617 No data
REGISTERED AGENT ADDRESS CHANGED 2023-06-28 11201 N. 56TH ST, Temple Terrace, FL 33617 No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
AMENDED ANNUAL REPORT 2023-06-28
ANNUAL REPORT 2023-01-03
Domestic Profit 2022-08-31

Date of last update: 11 Jan 2025

Sources: Florida Department of State