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  5. PULMONARY CC,. LLC

PULMONARY CC,. LLC

Company Details

Entity Name: PULMONARY CC,. LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Nov 2012 (12 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 14 Oct 2021 (3 years ago)
Document Number: L12000148009
FEI/EIN Number 46-1448783
Address: 10075 Jog Rd, BOYNTON BEACH, FL, 33437, US
Mail Address: 6615 west boynton beach blvd, BOYNTON BEACH, FL, 33437, US
ZIP code: 33437
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265777262 2012-12-01 2022-05-05 6615 W BOYNTON BEACH BLVD PMB 101, BOYNTON BEACH, FL, 334373536, US 10075 S JOG RD, 311, BOYNTON BEACH, FL, 334373535, US

Contacts
Phone +1 561-777-5308
Fax 5613032131

Authorized person
Name DR. WAMBURA N. MKONO
Role OWNER
Phone 5617775308

Taxonomy
Taxonomy Code 207RP1001X - Pulmonary Disease Physician
License Number ME110611
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 007946700
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PULMONARY CC, LLC 401(K) PLAN 2023 461448783 2024-06-11 PULMONARY CC, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 8189748378
Plan sponsor’s address 10075 JOG RD #311, BOYNTON BEACH, FL, 33472

Signature of
Role Plan administrator
Date 2024-06-11
Name of individual signing WAMBURA N. MKONO
Valid signature Filed with authorized/valid electronic signature
PULMONARY CC, LLC 401(K) PLAN 2022 461448783 2023-04-15 PULMONARY CC, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 8189748378
Plan sponsor’s address 10075 JOG RD #311, BOYNTON BEACH, FL, 33472

Signature of
Role Plan administrator
Date 2023-04-15
Name of individual signing WAMBURA N. MKONO
Valid signature Filed with authorized/valid electronic signature
PULMONARY CC, LLC 401(K) PLAN 2021 461448783 2022-05-17 PULMONARY CC, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 8189748378
Plan sponsor’s address 10075 JOG RD #311, BOYNTON BEACH, FL, 33472

Signature of
Role Plan administrator
Date 2022-05-17
Name of individual signing WAMBURA N. MKONO
Valid signature Filed with authorized/valid electronic signature
PULMONARY CC, LLC 401(K) PLAN 2020 461448783 2021-07-09 PULMONARY CC, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 8189748378
Plan sponsor’s address 10075 JOG RD #311, BOYNTON BEACH, FL, 33472

Signature of
Role Plan administrator
Date 2021-07-09
Name of individual signing WAMBURA N. MKONO
Valid signature Filed with authorized/valid electronic signature
PULMONARY CC, LLC 401(K) PLAN 2019 461448783 2020-06-26 PULMONARY CC, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 8189748378
Plan sponsor’s address 10075 JOG RD #311, BOYNTON BEACH, FL, 33472

Signature of
Role Plan administrator
Date 2020-06-26
Name of individual signing WAMBURA N. MKONO
Valid signature Filed with authorized/valid electronic signature
PULMONARY CC, LLC 401(K) PLAN 2018 461448783 2019-07-19 PULMONARY CC, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 8189748378
Plan sponsor’s address 10075 JOG RD #311, BOYNTON BEACH, FL, 33472

Signature of
Role Plan administrator
Date 2019-07-19
Name of individual signing WAMBURA N. MKONO
Valid signature Filed with authorized/valid electronic signature
PULMONARY CC, LLC 401(K) PLAN 2017 461448783 2018-05-21 PULMONARY CC, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 8189748378
Plan sponsor’s address 10075 JOG RD #311, BOYNTON BEACH, FL, 33472

Signature of
Role Plan administrator
Date 2018-05-21
Name of individual signing WAMBURA N. MKONO
Valid signature Filed with authorized/valid electronic signature
PULMONARY CC, LLC 401(K) PLAN 2016 461448783 2017-07-22 PULMONARY CC, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 8189748378
Plan sponsor’s address 10075 JOG RD #311, BOYNTON BEACH, FL, 33472

Signature of
Role Plan administrator
Date 2017-07-22
Name of individual signing WAMBURA N. MKONO
Valid signature Filed with authorized/valid electronic signature
PULMONARY CC, LLC 401(K) PLAN 2015 461448783 2016-10-05 PULMONARY CC, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621399
Sponsor’s telephone number 8189748378
Plan sponsor’s address 1880 N. CONGRESS AVE, STE 215, BOYNTON BEACH, FL, 33426
PULMONARY CC, LLC 401(K) PLAN 2014 461448783 2015-09-10 PULMONARY CC, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 812990
Sponsor’s telephone number 8189748378
Plan sponsor’s address 1880 N. CONGRESS AVE, STE 215, BOYNTON BEACH, FL, 33426

Signature of
Role Plan administrator
Date 2015-09-10
Name of individual signing DR. WAMBURA N. MKONO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Mkono Wambura Agent 10075 S Jog Rd, BOYNTON BEACH, FL, 33437

Manager

Name Role Address
MKONO WAMBURA Manager 10075 S Jog Rd, BOYNTON BEACH, FL, 33437

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-03-07 10075 S Jog Rd, 202, BOYNTON BEACH, FL 33437 No data
REINSTATEMENT 2021-10-14 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-03-29 10075 Jog Rd, SUITE #202, BOYNTON BEACH, FL 33437 No data
CHANGE OF MAILING ADDRESS 2020-03-29 10075 Jog Rd, SUITE #202, BOYNTON BEACH, FL 33437 No data
REGISTERED AGENT NAME CHANGED 2017-04-24 Mkono, Wambura No data

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-03-07
REINSTATEMENT 2021-10-14
ANNUAL REPORT 2020-03-29
ANNUAL REPORT 2019-06-12
ANNUAL REPORT 2018-03-11
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-01-21
ANNUAL REPORT 2015-01-29

Related by officers

MKONO WAMBURA

R.M.W. HOME, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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