| Entity Name: | AAG NP SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 07 Nov 2019 (5 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L19000296628 |
| FEI/EIN Number | 84-4010093 |
| Address: | 309 CORNELL DR, LAKE WORTH, FL 33460 |
| Mail Address: | 309 CORNELL DR, LAKE WORTH, FL 33460 |
| ZIP code: | 33460 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356989693 | 2019-12-17 | 2019-12-17 | 309 CORNELL DR, LAKE WORTH BEACH, FL, 334606207, US | 309 CORNELL DR, LAKE WORTH BEACH, FL, 334606207, US | |||||||||||||||||||
|
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| Phone | +1 718-490-4293 |
Authorized person
| Name | ALIRIO ALFONSO GONZALEZ |
| Role | OWNER |
| Phone | 7184904293 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 00246153 |
| State | NY |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, ALIRIO A | Agent | 309 CORNELL DR, LAKE WORTH, FL 33460 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, ALIRIO A | Manager | 309 CORNELL DR, LAKE WORTH, FL 33460 |
| MCCORMACK, JAMES E | Manager | 309 CORNELL DRIVE, LAKE WORTH, FL 33460 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-05-04 |
| Florida Limited Liability | 2019-11-07 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
