| Entity Name: | MY VISITING PROVIDER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 20 Jun 2018 (7 years ago) |
| Date of dissolution: | 01 Feb 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Feb 2022 (3 years ago) |
| Document Number: | L18000151468 |
| FEI/EIN Number | 83-1246409 |
| Address: | 7100 FAIRWAY DRIVE,, SUITE 27, PALM BEACH GARDENS, FL 33418 |
| Mail Address: | 7100 FAIRWAY DRIVE,, SUITE 27, PALM BEACH GARDENS, FL 33418 |
| ZIP code: | 33418 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811473432 | 2018-07-17 | 2019-02-01 | 100 CENTURY BLVD STE 201, WEST PALM BEACH, FL, 334172262, US | 100 CENTURY BLVD STE 201, WEST PALM BEACH, FL, 33417, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 561-469-8042 |
| Fax | 5614698042 |
Authorized person
| Name | KEVIN LEHMAN |
| Role | PARTNER |
| Phone | 5616760320 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEHMAN, KEVIN | Agent | 100 CENTURY BLVD, 201, WEST PALM BEACH, FL 33417 |
| Name | Role | Address |
|---|---|---|
| RICHMAN, BRETT | Manager | 7100 FAIRWAY DRIVE, PALM BEACH GARDENS, FL 33418 |
| LEHMAN, KEVIN | Manager | 100 CENTURY BLVD, WEST PALM BEACH, FL 33417 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-02-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-15 | 7100 FAIRWAY DRIVE,, SUITE 27, PALM BEACH GARDENS, FL 33418 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-15 | 7100 FAIRWAY DRIVE,, SUITE 27, PALM BEACH GARDENS, FL 33418 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-02-01 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-02-19 |
| ANNUAL REPORT | 2019-02-25 |
| Florida Limited Liability | 2018-06-20 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
