Entity Name: | PREVENTATIVE MEDICINE GROUP, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 20 Nov 2013 (11 years ago) |
Date of dissolution: | 26 Feb 2015 (10 years ago) |
Last Event: | LC VOLUNTARY DISSOLUTION |
Event Date Filed: | 26 Feb 2015 (10 years ago) |
Document Number: | L13000163339 |
FEI/EIN Number | 46-4161601 |
Address: | 1007 TIVOLI DRIVE, NAPLES, FL 34104 |
Mail Address: | 1007 TIVOLI DRIVE, NAPLES, FL 34104 |
ZIP code: | 34104 |
County: | Collier |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1568892800 | 2013-11-23 | 2013-11-23 | 1007 TIVOLI DR, NAPLES, FL, 341040863, US | 28901 TRAILS EDGE BLVD, UNIT 103, BONITA SPRINGS, FL, 341347588, US | |||||||||||||||||||
|
Phone | +1 239-877-2951 |
Fax | 2393492608 |
Authorized person
Name | STEVEN FREDERICK WOODRING |
Role | MEDICAL DIRECTOR |
Phone | 2398772951 |
Taxonomy
Taxonomy Code | 2083P0901X - Public Health & General Preventive Medicine Physician |
License Number | OS 10008 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SALVATORI, LEO J | Agent | 9132 STRADA PLACE, FOURTH FLOOR, NAPLES, FL 34108 |
Name | Role | Address |
---|---|---|
WOODRING, STEVEN F, Dr. | Manager | 1007 TIVOLI DRIVE, NAPLES, FL 34104 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC VOLUNTARY DISSOLUTION | 2015-02-26 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2014-02-18 | 1007 TIVOLI DRIVE, NAPLES, FL 34104 | No data |
CHANGE OF MAILING ADDRESS | 2014-02-18 | 1007 TIVOLI DRIVE, NAPLES, FL 34104 | No data |
Name | Date |
---|---|
LC Voluntary Dissolution | 2015-02-26 |
ANNUAL REPORT | 2014-02-18 |
Florida Limited Liability | 2013-11-20 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State