| Entity Name: | ALL PEDIATRIC CARE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Nov 1995 (29 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Feb 2014 (11 years ago) |
| Document Number: | P95000085046 |
| FEI/EIN Number | 593343389 |
| Address: | 225 MARINER BLVD, SPRING HILL, FL, 34609 |
| Mail Address: | 225 MARINER BLVD, SPRING HILL, FL, 34609 |
| ZIP code: | 34609 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942260245 | 2006-03-23 | 2019-05-16 | 225 MARINER BLVD, SPRING HILL, FL, 34609, US | 225 MARINER BLVD, SPRING HILL, FL, 34609, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 352-688-0100 |
| Fax | 3526881003 |
Authorized person
| Name | IMAD JANDALI |
| Role | PRESIDENT |
| Phone | 3526880100 |
Taxonomy
| Taxonomy Code | 207K00000X - Allergy & Immunology Physician |
| License Number | 720909 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | 0052919 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 262869400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JANDALI IMAD M.D. | Agent | 4355 HARBORPOINTE DR, PORT RICHEY, FL, 34668 |
| Name | Role | Address |
|---|---|---|
| JANDALI IMAD M.D. | Manager | 225 MARINER BLVD, BROOKSVILLE, FL, 34609 |
| Name | Role | Address |
|---|---|---|
| JANDALI IMAD M.D. | Director | 225 MARINER BLVD, BROOKSVILLE, FL, 34609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-06-13 | JANDALI, IMAD, M.D. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-13 | 4355 HARBORPOINTE DR, PORT RICHEY, FL 34668 | No data |
| REINSTATEMENT | 2014-02-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-01-30 | 225 MARINER BLVD, SPRING HILL, FL 34609 | No data |
| CHANGE OF MAILING ADDRESS | 2003-01-30 | 225 MARINER BLVD, SPRING HILL, FL 34609 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-13 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-04-01 |
| ANNUAL REPORT | 2015-04-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
