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COMMUNITY FLU SHOT PROVIDERS, LLC - Florida Company Profile

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Company Details

Entity Name: COMMUNITY FLU SHOT PROVIDERS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 25 Mar 2008 (17 years ago)
Date of dissolution: 25 Sep 2009 (16 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2009 (16 years ago)
Document Number: L08000030365
Address: 112 S. FEDERAL HIGHWAY, #4, BOYNTON BEACH, FL, 33435, US
Mail Address: 112 S. FEDERAL HIGHWAY, #4, BOYNTON BEACH, FL, 33435, US
ZIP code: 33435
City: Boynton Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MAGI MICHAEL M Managing Member 4250 NW 9 ST, DELRAY BEACH, FL, 33445
RYAN JEAN M Managing Member 536 GREENBRIER AVE, CELEBRATION, FL, 34747
PARK MICHAEL G Agent 1801 S. FEDERAL HWY., DELRAY BEACH, FL, 33483
PETRIELLA DONNA M Managing Member 241 LONG IRON LOOP, CELEBRATION, FL, 34747

National Provider Identifier

NPI Number:
1437326642

Authorized Person:

Name:
MS. JEAN M RYAN
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -

Documents

Name Date
Florida Limited Liability 2008-03-25

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Date of last update: 02 Aug 2025

Sources: Florida Department of State