Search icon

NATIONAL MEDICAL PROVIDERS LLC

Company Details

Entity Name: NATIONAL MEDICAL PROVIDERS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 14 Jun 2018 (7 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: L18000147108
FEI/EIN Number 83-0891119
Address: 11564 PUERTO BLVD, BOYNTON BEACH, FL, 33437, US
Mail Address: 11564 PUERTO BLVD, BOYNTON BEACH, FL, 33437, US
ZIP code: 33437
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174017743 2018-06-18 2018-06-18 11564 PUERTO BLVD, BOYNTON BEACH, FL, 334374028, US 11564 PUERTO BLVD, BOYNTON BEACH, FL, 334374028, US

Contacts

Phone +1 561-413-9123

Authorized person

Name ALAN C. SENS
Role VP
Phone 5614139123

Taxonomy

Taxonomy Code 261QR0208X - Mobile Radiology Clinic/Center
Is Primary Yes

Agent

Name Role Address
SENS ALAN Agent 11564 PUERTO BLVD, BOYNTON BEACH, FL, 33437

Vice President

Name Role Address
SENS ALAN Vice President 11564 PUERTO BLVD, BOYNTON BEACH, FL, 33437

President

Name Role Address
KUSNICK BARBARA President 11564 PUERTO BLVD, BOYNTON BEACH, FL, 33437

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2019-04-28
Florida Limited Liability 2018-06-14

Date of last update: 03 Feb 2025

Sources: Florida Department of State