| 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 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 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 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437326642 | 2008-05-15 | 2008-05-15 | 112 S FEDERAL HWY, SUITE #4, BOYNTON BEACH, FL, 334354939, US | 112 S FEDERAL HWY, SUITE #4, BOYNTON BEACH, FL, 334354939, US | |||||||||||||
|
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| Phone | +1 407-744-1780 |
Authorized person
| Name | MS. JEAN M RYAN |
| Role | MEMBER |
| Phone | 4077441780 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PARK MICHAEL G | Agent | 1801 S. FEDERAL HWY., DELRAY BEACH, FL, 33483 |
| Name | Role | Address |
|---|---|---|
| MAGI MICHAEL M | Managing Member | 4250 NW 9 ST, DELRAY BEACH, FL, 33445 |
| PETRIELLA DONNA M | Managing Member | 241 LONG IRON LOOP, CELEBRATION, FL, 34747 |
| RYAN JEAN M | Managing Member | 536 GREENBRIER AVE, CELEBRATION, FL, 34747 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2008-03-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
