| Entity Name: | LIFE SPRING PEDIATRICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Oct 1999 (25 years ago) |
| Document Number: | P99000094033 |
| FEI/EIN Number | 650957155 |
| Address: | 7442 Royal Palm Blvd, Margate, FL, 33063, US |
| Mail Address: | PO BOX 245233, HOLLYWOOD, FL, 33024 |
| ZIP code: | 33063 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518066307 | 2006-09-21 | 2020-08-22 | 8320 W SUNRISE BLVD, SUITE 200, PLANTATION, FL, 333225435, US | 8320 W SUNRISE BLVD, SUITE 200, PLANTATION, FL, 333225435, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 954-473-2128 |
| Fax | 9544766836 |
Authorized person
| Name | DR. ADETOKUNBOH AJOKU |
| Role | PRESIDENT |
| Phone | 9544732128 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME76784 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AJOKU ADETOKUNBOH M | Agent | 7442 Royal Palm Blvd, Margate, FL, 33063 |
| Name | Role | Address |
|---|---|---|
| AJOKU ADETOKUNBOH M | President | P.O.BOX 245233, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| AJOKU ADETOKUNBOH M | Secretary | P.O.BOX 245233, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| AJOKU ADETOKUNBOH M | Treasurer | P.O.BOX 245233, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| AJOKU ADETOKUNBOH M | Director | P.O.BOX 245233, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-18 | 7442 Royal Palm Blvd, Margate, FL 33063 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-18 | 7442 Royal Palm Blvd, Margate, FL 33063 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-03-31 | AJOKU, ADETOKUNBOH MD | No data |
| CHANGE OF MAILING ADDRESS | 2000-05-01 | 7442 Royal Palm Blvd, Margate, FL 33063 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000797992 | LAPSED | 11-12938 | BROWARD CIRCUIT | 2013-08-08 | 2019-08-04 | $205,998.71 | JESINIO S. BUNYI, C/O LEE GARTNER, 5561 N UNIVERSITY DRIVE # 103, CORAL SPRINGS,FL 33067 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
