| Entity Name: | PRODIGY HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Jul 2021 (4 years ago) |
| Document Number: | L21000315439 |
| FEI/EIN Number | 87-1618816 |
| Address: | 1124 SWEET BREEZE DR, VALRICO, FL, 33594, US |
| Mail Address: | 1124 SWEET BREEZE DR, VALRICO, FL, 33594, US |
| ZIP code: | 33594 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326787268 | 2022-05-31 | 2022-06-30 | 410 S WARE BLVD STE 815, TAMPA, FL, 336194456, US | 410 S WARE BLVD STE 815, TAMPA, FL, 336194456, US | |||||||||||||||
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| Phone | +1 813-492-0370 |
| Fax | 8133744546 |
Authorized person
| Name | DR. JUSTIN ALBERTO RIOS |
| Role | OWNER, CEO |
| Phone | 8134920370 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RIOS JUSTIN A | Agent | 1124 SWEET BREEZE DR, VALRICO, FL, 33594 |
| Name | Role | Address |
|---|---|---|
| RIOS JUSTIN A | Manager | 1124 SWEET BREEZE DR, VALRICO, FL, 33594 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-07-18 |
| Florida Limited Liability | 2021-07-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
