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North Fork Developmental Pediatrics, LLC

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Company Details

Name: North Fork Developmental Pediatrics, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 Mar 2025 (4 months ago)
Financial Date End: 31 Mar 2026
Entity Number: 6160296
Place of Formation: IDAHO
File Number: 983267
ZIP code: 83702
County: Ada County
Principal Address: 3477 N CRANE VIEW LN BOISE, ID 83702
Mailing Address: 1775 W STATE ST PMB 179 BOISE, ID 83702-3924

Agent

Name Role Address
Matthew Francis Agent 3477 N CRANE VIEW LN, BOISE, ID 83702

National Provider Identifier

NPI Number:
1679373518
Certification Date:
2025-03-19

Authorized Person:

Name:
DR. AMY FRANCIS
Role:
CHIEF MEDICAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
225XP0200X - Pediatric Occupational Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
No
Selected Taxonomy:
363LP0200X - Pediatric Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
2080P0006X - Developmental - Behavioral Pediatrics Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0006160296 2025-03-14

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Date of last update: 22 Jun 2025

Sources: Idaho Secretary of State