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NEW INTERLACHEN PEDIATRICS, P.A. - Florida Company Profile

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Company Details

Entity Name: NEW INTERLACHEN PEDIATRICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Jan 1999 (27 years ago)
Document Number: P99000007995
FEI/EIN Number 593547951
Address: 846 LAKE HOWELL RD., MAITLAND, FL, 32751, US
Mail Address: 846 LAKE HOWELL RD., MAITLAND, FL, 32751, US
ZIP code: 32751
City: Maitland
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
SMITH SAMUEL NDr. Secretary 846 LAKE HOWELL RD., MAITLAND, FL, 32751
WARD JULIE ADr. President 846 LAKE HOWELL RD., MAITLAND, FL, 32751
AGUILAR EMILY MDr. Vice President 846 LAKE HOWELL RD., MAITLAND, FL, 32751
Roitman Gabriela Dr. Vice President 846 Lake Howell Road, Maitland, FL, 32751
Dyer Sareh SDr. Vice President 846 LAKE HOWELL RD., MAITLAND, FL, 32751
Emmert Melanie NDr. Vice President 846 Lake Howell Rd, Maitland, FL, 32751

National Provider Identifier

NPI Number:
1659380459

Authorized Person:

Name:
MR. LUIS SALAZAR
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
4078349822

Form 5500 Series

Employer Identification Number (EIN):
593547951
Plan Year:
2024
Number Of Participants:
62
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
63
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
62
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
62
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
67
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G03058700083 INTERLACHEN PEDIATRICS ACTIVE 2003-02-27 2028-12-31 - 846 LAKE HOWELL RD, MAITLAND, FL, 32751

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-11-07 WHWW, INC. -
REGISTERED AGENT ADDRESS CHANGED 2023-11-07 329 PARK AVE NORTH, SECOND FLOOR, WINTER PARK, FL 32789 -
CHANGE OF PRINCIPAL ADDRESS 2011-01-04 846 LAKE HOWELL RD., MAITLAND, FL 32751 -
CHANGE OF MAILING ADDRESS 2011-01-04 846 LAKE HOWELL RD., MAITLAND, FL 32751 -

Documents

Name Date
ANNUAL REPORT 2024-01-12
Reg. Agent Change 2023-11-07
AMENDED ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-02
ANNUAL REPORT 2019-01-02
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-02-21

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Date of last update: 02 Aug 2025

Sources: Florida Department of State