| Entity Name: | NAPLES PEDIATRICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Dec 1997 (27 years ago) |
| Last Event: | REVOCATION OF VOLUNTARY DISSOLUT |
| Event Date Filed: | 29 Feb 2024 (a year ago) |
| Document Number: | P97000102995 |
| FEI/EIN Number | 650797293 |
| Address: | 5400 PARK CENTRAL COURT, NAPLES, FL, 34109, US |
| Mail Address: | 5400 Park Central Ct, NAPLES, FL, 34109, US |
| ZIP code: | 34109 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225036213 | 2005-07-13 | 2022-07-25 | 5400 PARK CENTRAL CT, SUITE 2, NAPLES, FL, 341096001, US | 5400 PARK CENTRAL CT, NAPLES, FL, 341095923, US | |||||||||||||||||||||||||||||||
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| Phone | +1 239-593-7000 |
| Fax | 2395937008 |
Authorized person
| Name | DR. PAUL ROBERT IRRA |
| Role | OWNER |
| Phone | 2395937000 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME0065935 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 254365600 |
| State | FL |
| Issuer | BLUE CROSS GRP ID |
| Number | 34401 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ONDREJICKA KATARINA E | Agent | 5400 PARK CENTRAL CT, NAPLES, FL, 34109 |
| Name | Role | Address |
|---|---|---|
| ONDREJICKA KATARINA E | President | 5 Center St, NAPLES, FL, 34108 |
| Name | Role | Address |
|---|---|---|
| IRRA PAUL R | Treasurer | 5 Center St, NAPLES, FL, 34108 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOCATION OF VOLUNTARY DISSOLUT | 2024-02-29 | No data | No data |
| VOLUNTARY DISSOLUTION | 2023-12-01 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-30 | 5400 PARK CENTRAL COURT, NAPLES, FL 34109 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-30 | 5400 PARK CENTRAL CT, NAPLES, FL 34109 | No data |
| REINSTATEMENT | 2014-05-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-27 | 5400 PARK CENTRAL COURT, NAPLES, FL 34109 | No data |
| REGISTERED AGENT NAME CHANGED | 1999-03-06 | ONDREJICKA, KATARINA E | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| Revocation of Dissolution | 2024-02-29 |
| VOLUNTARY DISSOLUTION | 2023-12-01 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-01-05 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-03 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467857708 | 2020-05-01 | 0455 | PPP | 5400 PARK CENTRAL CT, NAPLES, FL, 34109 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
