| Entity Name: | PYRIMED HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 03 Aug 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L15000131597 |
| FEI/EIN Number | 47-4717390 |
| Address: | 12724 SW 50TH ST, miami, FL 33027 |
| Mail Address: | 2114 N FLAMINGO RD,158, PEMBROKE PINES, FL 33028 |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932413531 | 2010-08-06 | 2016-09-01 | 2114 N FLAMINGO RD, SUITE 158, PEMBROKE PINES, FL, 330283501, US | 2100 W 76TH ST, SUITE 313A, HIALEAH, FL, 330165539, US | |||||||||||||||||||||||||||
|
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| Phone | +1 954-399-5887 |
Authorized person
| Name | RUDOLPH JOHNSON |
| Role | CEO |
| Phone | 9543995887 |
Taxonomy
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | 234273 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 017242900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNSON, RUDOLPH F | Agent | 2114 N. FLAMINGO RD, SUITE 158, PEMBROKE PINES, FL 33028 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, RUDOLPH F | Vice President | 2114 N. FLAMINGO RD, PEMBROKE PINES, FL 33028 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000089644 | MASSAN DEVELOPMENT, LLC | ACTIVE | 2021-06-17 | 2026-12-31 | No data | 2114 N FLAMINGO RD, 158, PEMBROKE PINES, FL, 33028 |
| G16000011070 | PYRIMED CARE SERVICES, LLC | EXPIRED | 2016-01-29 | 2021-12-31 | No data | 2114 N. FLAMINGO RD, 158, PEMBROKE PINES, FL, 33028 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-07-01 | 12724 SW 50TH ST, miami, FL 33027 | No data |
| CHANGE OF MAILING ADDRESS | 2021-07-01 | 12724 SW 50TH ST, miami, FL 33027 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-04-16 |
| Florida Limited Liability | 2015-08-03 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
