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