| Entity Name: | PIO MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 06 Feb 2013 (12 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L13000019221 |
| FEI/EIN Number | 46-1982442 |
| Address: | 200 KNUTH ROAD, SUITE 106, BOYNTON BEACH, FL 33436 |
| Mail Address: | 801 NE Orchid Bay Drive, Boca Raton, FL 33487 |
| ZIP code: | 33436 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730420597 | 2013-03-04 | 2013-06-12 | 200 KNUTH RD, SUITE 106, BOYNTON BEACH, FL, 334364629, US | 200 KNUTH RD, SUITE 106, BOYNTON BEACH, FL, 334364629, US | |||||||||||||||||||||||
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| Phone | +1 561-600-9015 |
| Fax | 5616009016 |
Authorized person
| Name | DR. KA HOCK GO |
| Role | MGRM |
| Phone | 5616009015 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 067796500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GO, KA HOCK D | Agent | 801 NE ORCHID BAY DRIVE, BOCA RATON, FL 33487 |
| Name | Role | Address |
|---|---|---|
| GO, KA HOCK D | Managing Member | 801 NE ORCHID BAY DRIVE, BOCA RATON, FL 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-19 | 200 KNUTH ROAD, SUITE 106, BOYNTON BEACH, FL 33436 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-06-20 | 200 KNUTH ROAD, SUITE 106, BOYNTON BEACH, FL 33436 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-03-19 |
| ANNUAL REPORT | 2014-05-02 |
| Florida Limited Liability | 2013-02-06 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
