| Entity Name: | SUNSHINE STATE PEDIATRICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 May 1994 (31 years ago) |
| Document Number: | P94000038459 |
| FEI/EIN Number | 650488686 |
| Address: | 16800 NW 2ND AVE, N MIAMI BEACH, FL, 33169, US |
| Mail Address: | 16800 NW 2ND AVE, N MIAMI BEACH, FL, 33169, US |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093108326 | 2015-03-11 | 2015-03-11 | 16800 NW 2ND AVE, SUITE 307, NORTH MIAMI BEACH, FL, 331695549, US | 16800 NW 2ND AVENUE, SUITE 307, NORTH MIAMI BEACH, FL, 33169, US | |||||||||||||||||||
|
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| Phone | +1 305-655-2340 |
| Fax | 3057709382 |
Authorized person
| Name | RONALD GRAY |
| Role | OWNER |
| Phone | 3056552340 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME58963 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRAY RONALD A | Agent | 16800 NW 2ND AVE, N MIAMI BEACH, FL, 33169 |
| Name | Role | Address |
|---|---|---|
| GRAY RONALD A | President | 16338 SW 2ND DR, PEMBROKE PINES, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| GRAY CURDELINE A | Secretary | 16800 NW 2ND AVE, N MIAMI BEACH, FL, 33169 |
| Name | Role | Address |
|---|---|---|
| GRAY CURDELINE A | Treasurer | 16800 NW 2ND AVE, N MIAMI BEACH, FL, 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J09002203478 | TERMINATED | 09-2292-CC-05 (02) | CIRCUIT CIVIL DIVISION DADE CO | 2009-10-27 | 2014-11-06 | $19,984.57 | LYON FINANCIAL SERVICES, INC., 1310 MADRID STREET, SUITE 100, MARSHALL, MN 56258 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
