| Entity Name: | PRODIGY MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Dec 2007 (17 years ago) |
| Date of dissolution: | 08 Aug 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Aug 2016 (9 years ago) |
| Document Number: | L07000124964 |
| FEI/EIN Number | 261782134 |
| Address: | 1916 SOUTHEAST MAYO DRIVE, TEQUESTA, FL, 33469, US |
| Mail Address: | 1916 SOUTHEAST MAYO DRIVE, TEQUESTA, FL, 33469, US |
| ZIP code: | 33469 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386887602 | 2009-04-16 | 2009-04-16 | 222 SEABREEZE CIR, JUPITER, FL, 334776420, US | 222 SEABREEZE CIR, JUPITER, FL, 334776420, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 561-277-9107 |
Authorized person
| Name | YVETTE VANDIVER |
| Role | OWNER |
| Phone | 5612779107 |
Taxonomy
| Taxonomy Code | 224Z00000X - Occupational Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| VANDIVER YVETTE R | Agent | 19126 SOUTHEAST MAYO DRIVE, TEQUESTA, FL, 33469 |
| Name | Role | Address |
|---|---|---|
| VANDIVER YVETTE R | Manager | 19126 SE MAYO DRIVE, TEQUESTA, FL, 33477 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000022813 | INSTANT INTERIOR DESIGN | EXPIRED | 2015-03-03 | 2020-12-31 | No data | 19126 SE MAYO DR, TEQUESTA, FL, 33469 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-08-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-08-07 | 1916 SOUTHEAST MAYO DRIVE, TEQUESTA, FL 33469 | No data |
| CHANGE OF MAILING ADDRESS | 2014-08-07 | 1916 SOUTHEAST MAYO DRIVE, TEQUESTA, FL 33469 | No data |
| LC STMNT OF RA/RO CHG | 2014-07-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-07-28 | 19126 SOUTHEAST MAYO DRIVE, TEQUESTA, FL 33469 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-04-28 | VANDIVER, YVETTE R | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-08-08 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-02-24 |
| CORLCRACHG | 2014-07-28 |
| ANNUAL REPORT | 2014-04-10 |
| ANNUAL REPORT | 2013-04-24 |
| ANNUAL REPORT | 2012-04-10 |
| ANNUAL REPORT | 2011-01-12 |
| ANNUAL REPORT | 2010-08-03 |
| ANNUAL REPORT | 2009-03-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
