| Entity Name: | ADESSO PROFESSIONAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Jul 2017 (8 years ago) |
| Document Number: | L17000161597 |
| FEI/EIN Number | 47-5086235 |
| Address: | 1202 Kingsley Ave, Orange Park, FL, 32073, US |
| Mail Address: | 1202 Kingsley Ave, Orange Park, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730682808 | 2018-03-14 | 2018-11-13 | 5000-18 US HWY 17 S, # 241, FLEMING ISLAND, FL, 32003, US | 1202 KINGSLEY AVE, ORANGE PARK, FL, 320734632, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 877-228-1221 |
| Fax | 8778424020 |
Authorized person
| Name | MARIA D MAYNOLDI |
| Role | ADMINISTRATOR |
| Phone | 9045794766 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME130811 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DAVID MAYNOLDI'S FL MED LIC |
| Number | ME130811 |
| State | FL |
| Issuer | DAVID MAYNOLDI MD NPI # |
| Number | 1144591249 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MAYNOLDI MARIA D | Agent | 1202 Kingsley Avenue, Orange Park, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| Maynoldi Maria | Manager | 1202 Kingsley Avenue, Orange Park, FL, 32073 |
| Maynoldi David Dr. | Manager | 1202 Kingsley Avenue, Orange Park, FL, 32073 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000037903 | AMD PRIMARY CARE | EXPIRED | 2018-03-21 | 2023-12-31 | No data | 5000-18 US HIGHWAY 17 SOUTH, 241, FLEMING ISLAND, FL, 32003 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-20 | 1202 Kingsley Avenue, Orange Park, FL 32073 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-18 | 1202 Kingsley Ave, Orange Park, FL 32073 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-10 | 1202 Kingsley Ave, Orange Park, FL 32073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-18 |
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-03-18 |
| AMENDED ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2018-03-14 |
| Florida Limited Liability | 2017-07-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
