| Entity Name: | PRODIGY MEDICAL PROFESSIONALS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Aug 2006 (18 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | L06000083511 |
| FEI/EIN Number | 205448620 |
| Address: | 1621 RIPLEY RUN, WELLINGTON, FL, 33414, US |
| Mail Address: | PO BOX 540156, GREENACRES, FL, 33454, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497977599 | 2007-05-02 | 2020-08-22 | 1621 RIPLEY RUN, WELLINGTON, FL, 33414, US | 1621 RIPLEY RUN, WELLINGTON, FL, 33414, US | |||||||||||||||||||
|
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| Phone | +1 561-512-6057 |
| Fax | 5612045093 |
Authorized person
| Name | MS. ANDREA (NONE) PINE-GRIMALDI |
| Role | MANAGING MEMBER (CO-OWNER) |
| Phone | 5615126057 |
Taxonomy
| Taxonomy Code | 171W00000X - Contractor |
| License Number | OT11509 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PINE-GRIMALDI ANDREA | Agent | 11485 SILK CARNATION WAY, UNIT D, ROYAL PALM BEACH, FL, 33411 |
| Name | Role | Address |
|---|---|---|
| PINE-GRIMALDI ANDREA | Managing Member | 1621 RIPLEY RUN, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-02-04 | PINE-GRIMALDI, ANDREA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-02-04 | 11485 SILK CARNATION WAY, UNIT D, ROYAL PALM BEACH, FL 33411 | No data |
| Name | Date |
|---|---|
| CORLCMMRES | 2009-04-02 |
| ANNUAL REPORT | 2008-04-28 |
| Reg. Agent Change | 2008-02-04 |
| ANNUAL REPORT | 2007-01-10 |
| Florida Limited Liability | 2006-08-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
