| Entity Name: | NP MOBILE MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
NP MOBILE 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 11 Feb 2016 (9 years ago) |
| Document Number: | L16000030062 |
| FEI/EIN Number |
81-1447866
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 11580 MELLOW COURT, WEST PALM BEACH, FL, 33411, US |
| Mail Address: | 11580 MELLOW COURT, WEST PALM BEACH, FL, 33411, US |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154780450 | 2016-02-15 | 2019-03-01 | 11580 MELLOW CT, WEST PALM BEACH, FL, 334119125, US | 11580 MELLOW CT, WEST PALM BEACH, FL, 334119125, US | |||||||||||||||||||||||||||
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| Phone | +1 561-267-3345 |
| Fax | 8889394244 |
Authorized person
| Name | MICHELLE BOWMAN |
| Role | PRESIDENT |
| Phone | 5617192223 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP9214512 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CIGNA PROVIDER NUMBER |
| Number | 7511795 |
| Issuer | BCBS |
| Number | YOM6J |
| Name | Role | Address |
|---|---|---|
| CONKLIN MICHELLE B | President | 11580 MELLOW COURT, WEST PALM BEACH, FL, 33411 |
| Sager Andrew | Auth | 11580 MELLOW COURT, WEST PALM BEACH, FL, 33411 |
| CONKLIN MICHELLE B | Agent | 11580 MELLOW COURT, WEST PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-01-16 | CONKLIN, MICHELLE B | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-16 | 11580 MELLOW COURT, WEST PALM BEACH, FL 33411 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-25 | 11580 MELLOW COURT, WEST PALM BEACH, FL 33411 | - |
| CHANGE OF MAILING ADDRESS | 2019-03-25 | 11580 MELLOW COURT, WEST PALM BEACH, FL 33411 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-01-15 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-02-09 |
| ANNUAL REPORT | 2017-01-11 |
| Florida Limited Liability | 2016-02-11 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7560578106 | 2020-07-23 | 0455 | PPP | 11580 MELLOW CT, ROYAL PALM BEACH, FL, 33411 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
