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PRO HEALTH MSO, LLC

Company Details

Entity Name: PRO HEALTH MSO, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 10 Apr 2012 (13 years ago)
Date of dissolution: 28 Oct 2015 (9 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 28 Oct 2015 (9 years ago)
Document Number: L12000048827
FEI/EIN Number N/A
Address: 3100 17TH STREET, ST. CLOUD, FL 34769
Mail Address: 3100 17TH STREET, ST. CLOUD, FL 34769
ZIP code: 34769
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427308055 2012-09-11 2012-09-11 5215 COCONUT CREEK PKWY, MARGATE, FL, 330633916, US 3100 17TH ST, SAINT CLOUD, FL, 347696021, US

Contacts

Phone +1 561-843-7720
Phone +1 407-891-3500

Authorized person

Name JOSEPH J. DICAPUA
Role CEO
Phone 5618437720

Taxonomy

Taxonomy Code 302R00000X - Health Maintenance Organization
Is Primary Yes

Agent

Name Role Address
Di Capua, Joseph Agent 3100 17TH STREET, ST. CLOUD, FL 34769

Managing Member

Name Role Address
HINMAN, ROY HII Managing Member 100 ARRICOLA AVENUE, ST. AUGUSTINE, FL 32080
DICAPUA, JOSEPH J Managing Member 3100 17 street, St. Cloud, FL 34769

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2015-10-28 No data No data
CHANGE OF MAILING ADDRESS 2014-01-10 3100 17TH STREET, ST. CLOUD, FL 34769 No data
REGISTERED AGENT NAME CHANGED 2014-01-10 Di Capua, Joseph No data
REGISTERED AGENT ADDRESS CHANGED 2014-01-10 3100 17TH STREET, ST. CLOUD, FL 34769 No data
LC VOLUNTARY DISSOLUTION 2012-09-21 No data No data
LC AMENDMENT 2012-09-21 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2015-10-28
ANNUAL REPORT 2015-01-09
ANNUAL REPORT 2014-01-10
ANNUAL REPORT 2013-04-18
LC Amendment 2012-09-21
Florida Limited Liability 2012-04-10

Date of last update: 23 Jan 2025

Sources: Florida Department of State