Entity Name: | SOUTH FLORIDA PEDIATRICS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 18 Feb 1991 (34 years ago) |
Document Number: | S32380 |
FEI/EIN Number | 650245275 |
Address: | 3905 NW 107TH AVE, DORAL, FL, 33178, US |
Mail Address: | 3905 NW 107TH AVE, DORAL, FL, 33178, US |
ZIP code: | 33178 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1851408256 | 2006-08-23 | 2020-08-22 | 5590 W 20TH AVE, SUITE 300, HIALEAH, FL, 330167061, US | 5590 W 20TH AVE, SUITE 300, HIALEAH, FL, 330167061, US | |||||||||||||||||||||||||||
|
Phone | +1 305-821-3388 |
Fax | 3058213116 |
Authorized person
Name | ROBERTO URIEL |
Role | PRESIDENT SOUTH FLORIDA PEDIATRICS |
Phone | 3058213388 |
Taxonomy
Taxonomy Code | 208000000X - Pediatrics Physician |
License Number | ME55642 |
State | FL |
Is Primary | No |
Taxonomy Code | 2080A0000X - Pediatric Adolescent Medicine Physician |
License Number | ME55642 |
State | FL |
Is Primary | No |
Name | Role | Address |
---|---|---|
URIEL ROBERTO | Agent | 3905 NW 107TH AVE, DORAL, FL, 33178 |
Name | Role | Address |
---|---|---|
URIEL ROBERTO | President | 3905 NW 107TH AVE, DORAL, FL, 33178 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G21000095948 | DORAL PEDIATRICS | ACTIVE | 2021-07-22 | 2026-12-31 | No data | 3905 NW 97TH AVE SUITE 412, DORAL, FL, 33178 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2024-11-12 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
REINSTATEMENT | 2003-10-27 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
REINSTATEMENT | 1996-10-21 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State