| Entity Name: | PBI MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Jul 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L12000095410 |
| Address: | 1022 JEFFERY STREET, BOCA RATON, FL, 33487 |
| Mail Address: | 1022 JEFFERY STREET, BOCA RATON, FL, 33487 |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932455318 | 2012-08-03 | 2012-08-03 | 1022 JEFFERY ST, BOCA RATON, FL, 334874183, US | 1022 JEFFERY ST, BOCA RATON, FL, 334874183, US | |||||||||||||||||
|
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| Phone | +1 561-692-9897 |
Authorized person
| Name | DR. JOHN DELUCA |
| Role | MGMR |
| Phone | 5616929897 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | ME102199 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DELUCA JOHN | Agent | 1022 JEFFERY STREET, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| DELUCA JOHN | Managing Member | 1022 JEFFERY STREET, BOCA RATON, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2012-07-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
