Search icon

MBS EVOLUTION, LLC

Company Details

Entity Name: MBS EVOLUTION, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 21 Sep 2017 (7 years ago)
Date of dissolution: 28 Sep 2018 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (6 years ago)
Document Number: L17000195753
Address: 5608 PGA BLVD, SUITE 208, PALM BEACH GARDENS, FL 33418
Mail Address: 5608 PGA BLVD, SUITE 208, PALM BEACH GARDENS, FL 33418
ZIP code: 33418
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811415094 2017-09-07 2022-07-21 5608 PGA BLVD STE 208, PALM BEACH GARDENS, FL, 334184121, US 5608 PGA BLVD STE 208, PALM BEACH GARDENS, FL, 334184121, US

Contacts

Phone +1 561-844-8188
Fax 5618448142

Authorized person

Name MR. BRIAN TULLY
Role CEO
Phone 5618448188

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary Yes

Agent

Name Role Address
DEFRANCESCO, JOYCE E Agent 5608 PGA BLVD., SUITE 208, PALM BEACH GARDEN, FL 33418

Authorized Person

Name Role Address
TULLY, BRIAN Authorized Person 5608 PGA BLVD., SUITE 208, PALM BEACH GARDENS, FL 33418
TULLY, DIANE Authorized Person 5608 PGA BLVD., SUITE 208, PALM BEACH GARDENS, FL 33418

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Documents

Name Date
Florida Limited Liability 2017-09-21

Date of last update: 18 Jan 2025

Sources: Florida Department of State