| Entity Name: | PALM BAY PEDIATRICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PALM BAY PEDIATRICS, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 09 Jul 1998 (27 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P98000060933 |
| FEI/EIN Number |
593520087
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 775 MALABAR RD, MALABAR, FL, 32950, US |
| Mail Address: | 775 MALABAR RD, MALABAR, FL, 32950, US |
| ZIP code: | 32950 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770731291 | 2008-09-09 | 2008-09-09 | 775 MALABAR RD, MALABAR, FL, 329503120, US | 775 MALABAR RD, MALABAR, FL, 329503120, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 321-722-8435 |
| Fax | 3217228486 |
Authorized person
| Name | DR. DORIS MARGARITA LEEDY |
| Role | OWNER/PHYSICIAN |
| Phone | 3217228435 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME63747 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2080P0205X - Pediatric Endocrinology Physician |
| License Number | ME63747 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 632833 |
| State | FL |
| Issuer | UPIN |
| Number | E41429 |
| State | FL |
| Issuer | CIGNA |
| Number | 3736201002 |
| State | FL |
| Issuer | MEDICAID |
| Number | 372797100 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 18683 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEEDY DORIS M | Director | 775 MALABAR RD, MALABAR, FL, 32950 |
| LEEDY DORIS | Agent | 2635 SMITH LANE, MALABAR, FL, 32950 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-29 | 2635 SMITH LANE, MALABAR, FL 32950 | - |
| REINSTATEMENT | 2008-03-27 | - | - |
| REGISTERED AGENT NAME CHANGED | 2008-03-27 | LEEDY, DORIS | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | - | - |
| REINSTATEMENT | 2005-10-18 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2002-04-01 | 775 MALABAR RD, MALABAR, FL 32950 | - |
| CHANGE OF MAILING ADDRESS | 2002-04-01 | 775 MALABAR RD, MALABAR, FL 32950 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000873142 | TERMINATED | 1000000498383 | BREVARD | 2013-04-24 | 2023-05-03 | $ 720.80 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, COCOA SERVICE CENTER, 2428 CLEARLAKE RD STE M, COCOA FL329225731 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-09-14 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-04-29 |
| REINSTATEMENT | 2008-03-27 |
| REINSTATEMENT | 2005-10-18 |
| ANNUAL REPORT | 2002-04-01 |
| ANNUAL REPORT | 2001-01-31 |
| ANNUAL REPORT | 2000-07-21 |
| ANNUAL REPORT | 1999-05-06 |
| Domestic Profit | 1998-07-09 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
