| Entity Name: | PRIXUS MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Sep 2015 (9 years ago) |
| Last Event: | LC STMNT OF WITHDRAWAL |
| Event Date Filed: | 07 Feb 2020 (5 years ago) |
| Document Number: | L15000149458 |
| FEI/EIN Number | 37-1791307 |
| Address: | 8624 Lee Vista Blvd, ORLANDO, FL, 32829, US |
| Mail Address: | 8624 Lee Vista Blvd, Suite 2, ORLANDO, FL, 32829, US |
| ZIP code: | 32829 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881065324 | 2015-10-09 | 2024-10-11 | 12092 JEWEL FISH LN, ORLANDO, FL, 328277141, US | 8624 LEE VISTA BLVD, ORLANDO, FL, 328298383, US | |||||||||||||||
|
|||||||||||||||||||
| Name | MR. RAPHAEL BONES |
| Role | PRESIDENT |
| Phone | 4077203209 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME116549 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BONES RAPHAEL | Agent | 12092 Jewel Fish Lane, Orlando, FL, 32827 |
| Name | Role | Address |
|---|---|---|
| Bones Raphael | Manager | 8624 Lee Vista Blvd, ORLANDO, FL, 32829 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000104382 | PRIXUS MEDICAL | EXPIRED | 2015-10-12 | 2020-12-31 | No data | 12092 JEWEL FISH LN, ORLANDO, FL, 32827 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-05 | 12092 Jewel Fish Lane, Orlando, FL 32827 | No data |
| LC STMNT OF WITHDRAWAL | 2020-02-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-24 | 8624 Lee Vista Blvd, Suite 2, ORLANDO, FL 32829 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-24 | BONES, RAPHAEL | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-26 | 8624 Lee Vista Blvd, Suite 2, ORLANDO, FL 32829 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-13 |
| ANNUAL REPORT | 2021-01-05 |
| CORLCSWITH | 2020-02-07 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-02-20 |
| ANNUAL REPORT | 2016-04-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
