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COCONUT CREEK PROFESSIONAL GROUP, LLC

Company Details

Entity Name: COCONUT CREEK PROFESSIONAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 10 Mar 2016 (9 years ago)
Date of dissolution: 22 Sep 2017 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (7 years ago)
Document Number: L16000049620
Address: 3880 COCONUT CREEK PARKWAY, COCONUT CREEK, FL, 33066
Mail Address: 3880 COCONUT CREEK PARKWAY, 303, COCONUT CREEK, FL, 33066
ZIP code: 33066
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366803322 2016-03-17 2016-03-17 3880 COCONUT CREEK PKWY STE 303, COCONUT CREEK, FL, 330661651, US 3880 COCONUT CREEK PKWY STE 303, COCONUT CREEK, FL, 330661651, US

Contacts

Phone +1 954-657-8524
Fax 9543010794

Authorized person

Name MR. CHRISTOPHER REUL
Role OWNER
Phone 9546578524

Taxonomy

Taxonomy Code 2084P0802X - Addiction Psychiatry Physician
Is Primary Yes

Agent

Name Role Address
REUL CHRISTOPHER A Agent 3880 COCONUT CREEK PKWY STE 303, COCONUT CREEK, FL, 33066

Manager

Name Role Address
REUL CHRIS Manager 3880 COCONUT CREEK PKWY STE 303, COCONUT CREEK, FL, 33066

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data

Documents

Name Date
Florida Limited Liability 2016-03-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State