| Entity Name: | HEARTLAND PEDIATRICS OF LAKE PLACID, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
HEARTLAND PEDIATRICS OF LAKE PLACID, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 12 Jan 1998 (27 years ago) |
| Last Event: | RESTATED ARTICLES AND NAME CHANGE |
| Event Date Filed: | 16 Feb 2011 (14 years ago) |
| Document Number: | P98000003974 |
| FEI/EIN Number |
593488365
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 344 E. ROYAL PALM ST., STE 3, LAKE PLACID, FL, 33852, US |
| Mail Address: | 1354 STATE ROAD 60 EAST, LAKE WALES, FL, 33853, US |
| ZIP code: | 33852 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265453203 | 2006-07-23 | 2011-05-09 | 344 E ROYAL PALM ST, SUITE # 3, LAKE PLACID, FL, 338525020, US | 344 E ROYAL PALM ST, SUITE # 3, LAKE PLACID, FL, 338525020, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 863-699-1414 |
| Fax | 8636999790 |
Authorized person
| Name | DR. RAJESWARI SONNI |
| Role | PRESIDENT/ MEDICAL DIRECTOR |
| Phone | 8636991414 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 253535100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 253535101 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD OF FLORIDA |
| Number | 21799 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SONNI RAJESWARI M | President | 344 E. ROYAL PALM STREET, SUITE 3, LAKE PLACID, FL, 33852 |
| HREN LAURENCE | Administrator | 1354 STATE ROAD 60 EAST, LAKE WALES, FL, 33853 |
| DEAN MEAD SERVICES, LLC | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-07-01 | DEAN MEAD SERVICES, LLC | - |
| CHANGE OF MAILING ADDRESS | 2019-02-11 | 344 E. ROYAL PALM ST., STE 3, LAKE PLACID, FL 33852 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-12-14 | 420 S. ORANGE AVENUE - STE. 700, ORLANDO, FL 32801 | - |
| RESTATED ARTICLES | 2011-02-16 | - | - |
| RESTATED ARTICLES AND NAME CHANGE | 2011-02-16 | HEARTLAND PEDIATRICS OF LAKE PLACID, INC. | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-10-13 | 344 E. ROYAL PALM ST., STE 3, LAKE PLACID, FL 33852 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-03-18 |
| Reg. Agent Change | 2020-07-01 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-03-21 |
| Reg. Agent Change | 2016-12-14 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
