| Entity Name: | PRO-ACTIVE MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Feb 2019 (6 years ago) |
| Document Number: | L19000057882 |
| FEI/EIN Number | 83-3906681 |
| Address: | 4591 HIGHWAY 20 EAST, SUITE 201, NICEVILLE, FL, 32578 |
| Mail Address: | 4591 HIGHWAY 20 EAST, SUITE 201, NICEVILLE, FL, 32578 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295395010 | 2019-06-14 | 2020-06-08 | 4591 E HIGHWAY 20 STE 201, NICEVILLE, FL, 325788845, US | 4591 E HIGHWAY 20 STE 201, NICEVILLE, FL, 325788845, US | |||||||||||||||
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| Phone | +1 850-279-4913 |
| Fax | 8502794975 |
Authorized person
| Name | DR. BRIAN LEE SCHUESSLER |
| Role | CEO |
| Phone | 8506857734 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SCHUESSLER BRIAN | Agent | 4591 HIGHWAY 20 EAST, NICEVILLE, FL, 32578 |
| Name | Role | Address |
|---|---|---|
| Schuessler Brian DC | President | 1069 Napa Way, Niceville, FL, 32578 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-03-13 |
| Florida Limited Liability | 2019-02-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
