| Entity Name: | KIDS HEALTH PLACE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 06 Aug 1991 (34 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Nov 1995 (29 years ago) |
| Document Number: | S71243 |
| FEI/EIN Number | 65-0270489 |
| Address: | 2900 MIDWAY RD. W., FT. PIERCE, FL 34981 |
| Mail Address: | 2900 MIDWAY RD. W., FT. PIERCE, FL 34981 |
| ZIP code: | 34981 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124036819 | 2006-08-04 | 2020-08-22 | 2900 W MIDWAY RD, FORT PIERCE, FL, 349814955, US | 2900 W MIDWAY RD, FORT PIERCE, FL, 349814955, US | |||||||||||||||||
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| Phone | +1 772-467-0961 |
| Fax | 7724676683 |
Authorized person
| Name | DR. DAVID GARTH WALTERS |
| Role | PRESIDENT |
| Phone | 7724670961 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WALTERS, DAVID GARTH, Dr. | Agent | 2900 MIDWAY RD. W., FT. PIERCE, FL 34981 |
| Name | Role | Address |
|---|---|---|
| WALTERS, DAVID G. | President | 2900 MIDWAY RD. W., FT. PIERCE, FL 34981 |
| Name | Role | Address |
|---|---|---|
| WALTERS, DAVID G. | Director | 2900 MIDWAY RD. W., FT. PIERCE, FL 34981 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2015-04-21 | WALTERS, DAVID GARTH, Dr. | No data |
| CHANGE OF MAILING ADDRESS | 2012-03-20 | 2900 MIDWAY RD. W., FT. PIERCE, FL 34981 | No data |
| REINSTATEMENT | 1995-11-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1995-11-30 | 2900 MIDWAY RD. W., FT. PIERCE, FL 34981 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1995-11-30 | 2900 MIDWAY RD. W., FT. PIERCE, FL 34981 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-04-29 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
