| Entity Name: | PRP CENTERS OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 29 Mar 2016 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L16000062579 |
| FEI/EIN Number | 81-1999566 |
| Address: | 5238 Mason Corbin Court, 101, Fort Myers, FL 33907 |
| Mail Address: | 1225 SUNBURY DRIVE, FORT MYERS, FL 33901 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265882096 | 2016-06-13 | 2016-06-13 | 1225 SUNBURY DR, FORT MYERS, FL, 339018738, US | 1225 SUNBURY DR, FORT MYERS, FL, 339018738, US | |||||||||||||||||
|
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| Phone | +1 239-338-7074 |
Authorized person
| Name | KENNEH BACKSTRAND |
| Role | MD |
| Phone | 2393387074 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | ME0050622 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BACKSTRAND, KENNETH | Agent | 1225 SUNBURY DRIVE, FORT MYERS, FL 33901 |
| Name | Role | Address |
|---|---|---|
| BACKSTRAND, KENNETH | Manager | 1225 SUNBURY DRIVE, FORT MYERS, FL 33901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-11 | 5238 Mason Corbin Court, 101, Fort Myers, FL 33907 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-30 |
| Florida Limited Liability | 2016-03-29 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
