Entity Name: | EAST/WEST PEDIATRICS, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 07 Feb 1992 (33 years ago) |
Date of dissolution: | 24 Sep 2021 (3 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 24 Sep 2021 (3 years ago) |
Document Number: | V12717 |
FEI/EIN Number | 65-0318791 |
Address: | 1319 SE 2ND AVENUE, FORT LAUDERDALE, FL 33316 |
Mail Address: | 1319 SE 2ND AVENUE, FORT LAUDERDALE, FL 33316 |
ZIP code: | 33316 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1114982899 | 2006-04-18 | 2008-05-15 | 106 NW 100TH AVE, PLANTATION, FL, 333247008, US | 106 NW 100TH AVE, PLANTATION, FL, 333247008, US | |||||||||||||||||||||||||||||||||||||||
|
Phone | +1 954-452-7576 |
Fax | 9544528248 |
Authorized person
Name | MRS. RAGINI DHARMAPPA |
Role | OFFICE MANAGER |
Phone | 9544527576 |
Taxonomy
Taxonomy Code | 208000000X - Pediatrics Physician |
License Number | ME0037416 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 208000000X - Pediatrics Physician |
License Number | ME0037089 |
State | FL |
Is Primary | No |
Other Provider Identifiers
Issuer | STATE LICENSE |
Number | ME0037089 |
State | FL |
Issuer | ST LICENSE |
Number | ME0037416 |
State | FL |
Name | Role | Address |
---|---|---|
KABBINAMANE, DHARMAPPA | Agent | 1319 SE 2ND AVENUE, FORT LAUDERDALE, FL 33316 |
Name | Role | Address |
---|---|---|
SAHASRANAMAN, PALGHAT M. | Director | 1319 SE 2ND AVENUE, FORT LAUDERDALE, FL 33316 |
DHARMAPPA, KABBINAMANE V | Director | 1319 SE 2ND AVENUE, FORT LAUDERDALE, FL 33316 |
Name | Role | Address |
---|---|---|
DHARMAPPA, KABBINAMANE V | President | 1319 SE 2ND AVENUE, FORT LAUDERDALE, FL 33316 |
Name | Role | Address |
---|---|---|
SAHASRANAMAN, PALGHAT M. | Secretary | 1319 SE 2ND AVENUE, FORT LAUDERDALE, FL 33316 |
Name | Role | Address |
---|---|---|
SAHASRANAMAN, PALGHAT M. | Treasurer | 1319 SE 2ND AVENUE, FORT LAUDERDALE, FL 33316 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
PENDING REINSTATEMENT | 2011-05-13 | No data | No data |
REINSTATEMENT | 2011-05-13 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
CANCEL ADM DISS/REV | 2008-11-11 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
CANCEL ADM DISS/REV | 2004-10-25 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2002-06-24 | 1319 SE 2ND AVENUE, FORT LAUDERDALE, FL 33316 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2002-06-24 | 1319 SE 2ND AVENUE, FORT LAUDERDALE, FL 33316 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2020-03-20 |
ANNUAL REPORT | 2019-03-06 |
ANNUAL REPORT | 2018-02-21 |
ANNUAL REPORT | 2017-02-27 |
ANNUAL REPORT | 2016-02-25 |
ANNUAL REPORT | 2015-02-24 |
ANNUAL REPORT | 2014-03-04 |
ANNUAL REPORT | 2013-03-12 |
ANNUAL REPORT | 2012-02-07 |
REINSTATEMENT | 2011-05-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State