| Entity Name: | RONDA PANUCCI MASSAGE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 31 Jul 2006 (19 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | L06000075404 |
| FEI/EIN Number | 510595373 |
| Address: | 1078 S. FERDON BLVD., SUITE B, CRESTVIEW, FL, 32536 |
| Mail Address: | P.O. BOX 204, CRESTVIEW, FL, 32536 |
| ZIP code: | 32536 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144343344 | 2007-04-10 | 2020-08-22 | PO BOX 204, CRESTVIEW, FL, 325360204, US | 1078 S FERDON BLVD, SUITE B, CRESTVIEW, FL, 325364510, US | |||||||||||||||||||||||||
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| Phone | +1 850-683-1125 |
| Fax | 8506830981 |
Authorized person
| Name | RONDA LEE PANUCCI |
| Role | OWNER |
| Phone | 8506831125 |
Taxonomy
| Taxonomy Code | 225700000X - Massage Therapist |
| License Number | MA0016952 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | C6565 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PANUCCI RONDA | Agent | 2824 LAKE SILVER ROAD, CRESTVIEW, FL, 32536 |
| Name | Role | Address |
|---|---|---|
| PANUCCI RONDA | Manager | 2824 LAKE SILVER ROAD, CRESTVIEW, FL, 32536 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-11 | 1078 S. FERDON BLVD., SUITE B, CRESTVIEW, FL 32536 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-02-11 |
| ANNUAL REPORT | 2009-01-11 |
| ANNUAL REPORT | 2008-04-21 |
| ANNUAL REPORT | 2007-04-16 |
| Florida Limited Liability | 2006-07-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
