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FENIX RISING MEDICAL LLC

Company Details

Entity Name: FENIX RISING MEDICAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 28 Jan 2020 (5 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L20000034804
FEI/EIN Number 84-4615308
Address: 8401 Lake Worth Ave, 110, Lake Worth, FL 33467
Mail Address: 8401 Lake Worth Ave, 110, Lake Worth, FL 33467
ZIP code: 33467
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831728062 2020-04-08 2021-03-16 8401 LAKE WORTH RD STE 110, LAKE WORTH, FL, 334672400, US 8401 LAKE WORTH RD STE 110, LAKE WORTH, FL, 334672400, US

Contacts

Phone +1 561-713-1433

Authorized person

Name JOMO EBANKS
Role PRESIDENT
Phone 5617131433

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
EBANKS, JOMO Agent 8401 Lake Worth Ave, 110, Lake Worth, FL 33467

Authorized Member

Name Role Address
EBANKS, JOMO Authorized Member 8401 Lake Worth Ave, 110 Lake Worth, FL 33467

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-03-16 8401 Lake Worth Ave, 110, Lake Worth, FL 33467 No data
CHANGE OF MAILING ADDRESS 2021-03-16 8401 Lake Worth Ave, 110, Lake Worth, FL 33467 No data
REGISTERED AGENT ADDRESS CHANGED 2021-03-16 8401 Lake Worth Ave, 110, Lake Worth, FL 33467 No data

Documents

Name Date
ANNUAL REPORT 2021-03-16
Florida Limited Liability 2020-01-28

Date of last update: 15 Feb 2025

Sources: Florida Department of State