| Entity Name: | TRUDELLDOCTORMD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Apr 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Oct 2019 (5 years ago) |
| Document Number: | L17000087806 |
| FEI/EIN Number | 82-2039679 |
| Address: | 6080 Boynton Beach Blvd, Boynton Beach, FL, 33437, US |
| Mail Address: | 6080 Boynton Beach Blvd, Boynton Beach, FL, 33437, US |
| ZIP code: | 33437 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891433249 | 2022-05-25 | 2022-05-25 | 6080 BOYNTON BEACH BLVD STE 230, BOYNTON BEACH, FL, 334373588, US | 6080 BOYNTON BEACH BLVD STE 230, BOYNTON BEACH, FL, 334373588, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 561-807-7780 |
| Fax | 8669500144 |
Authorized person
| Name | MARCIA RIVERA |
| Role | PRACTICE ADMIN |
| Phone | 5612548134 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DOCTOR TRUDELL | Agent | 6080 Boynton Beach Blvd, Boynton Beach, FL, 33437 |
| Name | Role | Address |
|---|---|---|
| DOCTOR TRUDELL | Director | 6080 Boynton Beach Blvd, Boynton Beach, FL, 33437 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-11 | 6080 Boynton Beach Blvd, Boynton Beach, FL 33437 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-27 | 6080 Boynton Beach Blvd, Boynton Beach, FL 33437 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-27 | 6080 Boynton Beach Blvd, Boynton Beach, FL 33437 | No data |
| REINSTATEMENT | 2019-10-18 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-18 | DOCTOR, TRUDELL | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-04-16 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-06-18 |
| REINSTATEMENT | 2019-10-18 |
| ANNUAL REPORT | 2018-08-28 |
| Florida Limited Liability | 2017-04-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
