| Entity Name: | MANOR PLAZA PEDIATRIC CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Profit Corporation
MANOR PLAZA PEDIATRIC CENTER, INC is structured as a Profit Corporation, also known as a C-Corporation, a business structure recognized as a separate legal entity from its owners. This structure offers the benefit of potential tax advantages and ease of raising capital through the issuance of stock. |
| 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: | 18 Feb 1991 (34 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 20 Feb 2012 (13 years ago) |
| Document Number: | S33218 |
| FEI/EIN Number |
65-0250070
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1234 NORTHEAST 4TH AVENUE, STE. A, FORT LAUDERDALE, FL 33304 |
| Mail Address: | 1234 NORTHEAST 4 TH AVENUE, STE. A, FORT LAUDERDALE, FL 33304 |
| ZIP code: | 33304 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558657130 | 2011-06-22 | 2012-02-16 | 1234 NE 4TH AVE, FORT LAUDERDALE, FL, 333041925, US | 1234 NE 4TH AVE, FORT LAUDERDALE, FL, 333041925, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 954-779-1667 |
| Fax | 9547607253 |
Authorized person
| Name | JEAN-WILNER MATHIEU |
| Role | MEDICAL DIRECTOR |
| Phone | 9547791667 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME0042195 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME0042195 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 062870100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DUCLAS & DUCLAS, LLC | Agent | - |
| DESIR, GUERLYNE | President | 1234 NORTHEAST 4TH AVENUE, STE. A FORT LAUDERDALE, FL 33304 |
| DESIR, GUERLYNE | Secretary | 1234 NORTHEAST 4TH AVENUE, STE. A FORT LAUDERDALE, FL 33304 |
| DESIR, GUERLYNE | Treasurer | 1234 NORTHEAST 4TH AVENUE, STE. A FORT LAUDERDALE, FL 33304 |
| DESIR, GUERLYNE | Director | 1234 NORTHEAST 4TH AVENUE, STE. A FORT LAUDERDALE, FL 33304 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G99028900421 | MINOR PLAZA PEDIATRIC AND GENERAL MEDICINE | ACTIVE | 1999-01-29 | 2029-12-31 | - | 1234 N.E. 4TH AVENUE, FORT LAUDERDALE, FL, 33304 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-29 | 1234 NORTHEAST 4TH AVENUE, STE. A, FORT LAUDERDALE, FL 33304 | - |
| CHANGE OF MAILING ADDRESS | 2024-08-29 | 1234 NORTHEAST 4TH AVENUE, STE. A, FORT LAUDERDALE, FL 33304 | - |
| REGISTERED AGENT NAME CHANGED | 2024-08-29 | DUCLAS & DUCLAS LLC | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-29 | 10620 GRIFFIN ROAD, STE. 101, COOPER CITY, FL 33328 | - |
| NAME CHANGE AMENDMENT | 2012-02-20 | MANOR PLAZA PEDIATRIC CENTER, INC | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-29 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-25 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-03-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
