| Entity Name: | PB MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PB MEDICAL GROUP, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 11 Sep 2015 (10 years ago) |
| Date of dissolution: | 06 Sep 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 06 Sep 2018 (7 years ago) |
| Document Number: | L15000155573 |
| FEI/EIN Number |
47-5077680
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2290 10TH AVENUE NORTH, 201, LAKE WORTH, FL, 33461, US |
| Mail Address: | 2290 10TH AVENUE NORTH, 201, LAKE WORTH, FL, 33461, US |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366812943 | 2015-09-25 | 2015-09-28 | 2290 10TH AVE N STE 201, LAKE WORTH, FL, 334616609, US | 2290 10TH AVE N STE 201, LAKE WORTH, FL, 334616609, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 561-225-2890 |
Authorized person
| Name | COLIN DAVIS WALLACE |
| Role | CO-FOUNDER AND CEO |
| Phone | 5612554135 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Sporn Marc | Manager | 2290 10TH AVENUE NORTH, SUITE 201, LAKE WORTH, FL, 33461 |
| WALLACE COLIN | Manager | 2290 10TH AVENUE NORTH, SUITE 201, LAKE WORTH, FL, 33461 |
| ROSENTHAL EVAN S | Manager | 2290 10TH AVENUE NORTH, SUITE 201, LAKE WORTH, FL, 33461 |
| PERRY MARK C | Agent | 2400 EAST COMMERCIAL BOULEVARD, FORT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-10-01 | 2290 10TH AVENUE NORTH, 201, LAKE WORTH, FL 33461 | - |
| CHANGE OF MAILING ADDRESS | 2025-10-01 | 2290 10TH AVENUE NORTH, 201, LAKE WORTH, FL 33461 | - |
| CHANGE OF MAILING ADDRESS | 2024-10-01 | 2290 10TH AVENUE NORTH, 201, LAKE WORTH, FL 33461 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-01 | 2290 10TH AVENUE NORTH, 201, LAKE WORTH, FL 33461 | - |
| VOLUNTARY DISSOLUTION | 2018-09-06 | - | - |
| REGISTERED AGENT NAME CHANGED | 2016-10-18 | PERRY, MARK C | - |
| REINSTATEMENT | 2016-10-18 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-06-21 |
| ANNUAL REPORT | 2017-02-27 |
| REINSTATEMENT | 2016-10-18 |
| Florida Limited Liability | 2015-09-11 |
Date of last update: 02 May 2025
Sources: Florida Department of State
