| Entity Name: | PROFESSIONAL PARK PEDIATRICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PROFESSIONAL PARK PEDIATRICS, P.A. 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: | 19 Feb 1999 (26 years ago) |
| Document Number: | P99000016386 |
| FEI/EIN Number |
593557024
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1881 PROFESSIONAL PARK CIRCLE, SUITE 80, TALLAHASSEE, FL, 32308 |
| Mail Address: | 1881 PROFESSIONAL PARK CIRCLE, SUITE 80, TALLAHASSEE, FL, 32308 |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841289204 | 2005-10-18 | 2009-09-09 | 1881 PROFESSIONAL PARK CIR, SUITE 80, TALLAHASSEE, FL, 323084541, US | 1881 PROFESSIONAL PARK CIR, SUITE 80, TALLAHASSEE, FL, 323084541, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-402-5454 |
| Fax | 8504025451 |
Authorized person
| Name | DR. WALTER G. BUNNELL III |
| Role | PRESIDENT |
| Phone | 8504025454 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME37597 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME75773 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME82183 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME91797 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BUNNELL WALTER GIII | President | 1881 PROFESSIONAL PARK CIRCLE, SUITE 80, TALLAHASSEE, FL, 32308 |
| BUNNELL WALTER GIII | Director | 1881 PROFESSIONAL PARK CIRCLE, SUITE 80, TALLAHASSEE, FL, 32308 |
| ELZIE JOHN L | Secretary | 1881 PROFESSIONAL PARK CIRCLE, SUITE 80, TALLAHASSEE, FL, 32308 |
| ELZIE JOHN L | Director | 1881 PROFESSIONAL PARK CIRCLE, SUITE 80, TALLAHASSEE, FL, 32308 |
| MARTIN JAMES E | Treasurer | 1881 PROFESSIONAL PARK CIRCLE, SUITE 80, TALLAHASSEE, FL, 32308 |
| MARTIN JAMES E | Director | 1881 PROFESSIONAL PARK CIRCLE, SUITE 80, TALLAHASSEE, FL, 32308 |
| BUNNELL WALTER G | Agent | 1881 PROFESSIONAL PARK CIRCLE, SUITE 80, TALLAHASSEE, FL, 32308 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-02-12 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-04-08 |
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-02-19 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
