| Entity Name: | ENGLEWOOD PEDIATRICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ENGLEWOOD 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: | 03 Jul 1991 (34 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 04 May 2010 (15 years ago) |
| Document Number: | S65019 |
| FEI/EIN Number |
650270792
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 7960 SW 60TH AVE, OCALA, FL, 34476, US |
| Address: | 900 PINE STREET SUITE 216-217, ENGELWOOD, FL, 34223, US |
| ZIP code: | 34223 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356470744 | 2007-03-03 | 2017-11-14 | 900 PINE ST UNIT 216-217, ENGLEWOOD, FL, 342234418, US | 900 PINE ST UNIT 216-217, ENGLEWOOD, FL, 342234418, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 941-474-5093 |
| Fax | 9414749049 |
Authorized person
| Name | ELLA MARIE GUASTAVINO |
| Role | PRESIDENT |
| Phone | 9414745093 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | 0059964 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| License Number | 0059964 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 800002855 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 054195800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Eunus Shahab Dr. | President | 7960 SW 60TH AVE, OCALA, FL, 34476 |
| Rogozina Svetlana Dr. | Vice President | 7960 SW 60TH AVE, OCALA, FL, 34476 |
| Eunus Shahab Dr. | Agent | 7960 SW 60TH AVE, OCALA, FL, 34476 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-01-03 | 900 PINE STREET SUITE 216-217, ENGELWOOD, FL 34223 | - |
| REGISTERED AGENT NAME CHANGED | 2022-01-03 | Eunus, Shahab, Dr. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-03 | 7960 SW 60TH AVE, OCALA, FL 34476 | - |
| CANCEL ADM DISS/REV | 2010-05-04 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 1997-02-04 | 900 PINE STREET SUITE 216-217, ENGELWOOD, FL 34223 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-01-03 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-04-29 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-03-04 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-07-10 |
| ANNUAL REPORT | 2015-01-23 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
