| Entity Name: | OCOEE PEDIATRICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Sep 1995 (29 years ago) |
| Date of dissolution: | 26 Sep 1997 (27 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 1997 (27 years ago) |
| Document Number: | P95000072727 |
| FEI/EIN Number | 650617377 |
| Address: | 31 SILVERSTAR ROAD, OCOEE, FL, 34761 |
| Mail Address: | 31 SILVERSTAR ROAD, OCOEE, FL, 34761 |
| ZIP code: | 34761 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912120627 | 2007-04-11 | 2023-01-25 | 1551 BOREN DR, SUITE A, OCOEE, FL, 347612966, US | 1551 BOREN DR, SUITE A, OCOEE, FL, 347612966, US | |||||||||||||||||||||||||||||
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| Phone | +1 407-395-2037 |
| Fax | 4073952038 |
| Phone | +1 407-877-8300 |
| Fax | 4078778841 |
Authorized person
| Name | SHAHID F USMANI |
| Role | OWNER |
| Phone | 4073952037 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME58828 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 253060101 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KATZIN, MD DEAN S | Agent | 750 MARINE DRIVE, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| KATZIN, MD DEAN S | President | 750 MARINE DRIVE, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| KATZIN, MD DEAN S | Secretary | 750 MARINE DRIVE, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| KATZIN, MD DEAN S | Treasurer | 750 MARINE DRIVE, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| KATZIN, MD DEAN S | Director | 750 MARINE DRIVE, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1997-09-26 | No data | No data |
| REINSTATEMENT | 1996-10-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1996-10-14 | 31 SILVERSTAR ROAD, OCOEE, FL 34761 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1996-10-14 | 750 MARINE DRIVE, BOCA RATON, FL 33431 | No data |
| CHANGE OF MAILING ADDRESS | 1996-10-14 | 31 SILVERSTAR ROAD, OCOEE, FL 34761 | No data |
| REGISTERED AGENT NAME CHANGED | 1996-10-14 | KATZIN, MD, DEAN S | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1996-08-23 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
