Search icon

PATIENT PROVIDER NETWORK, LLC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: PATIENT PROVIDER NETWORK, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 02 Aug 2021 (4 years ago)
Date of dissolution: 23 Sep 2022 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (3 years ago)
Document Number: L21000349499
Address: 5260 78TH AVE N #1562, PINELLAS PARK, FL, 33780, US
Mail Address: PO BOX 2362, POMPANO BEACH, FL, 33061, US
ZIP code: 33780
City: Pinellas Park
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HARWOOD CHRISTOPHER Authorized Member 12723 NW 21ST PLACE, CORAL SPRINGS, FL, 33071
BAGBY MICHAEL Authorized Member 5260 78TH AVE N #1562, PINELLAS PARK, FL, 33780
BAGBY MICHAEL Agent 5260 78TH AVE N #1562, PINELLAS PARK, FL, 33780

National Provider Identifier

NPI Number:
1285393694
Certification Date:
2022-04-24

Authorized Person:

Name:
MICHAEL BAGBY
Role:
AMBR
Phone:

Taxonomy:

Selected Taxonomy:
133NN1002X - Nutrition Education Nutritionist
Is Primary:
No
Selected Taxonomy:
170300000X - Genetic Counselor (M.S.)
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
No
Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -

Documents

Name Date
Florida Limited Liability 2021-08-02

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 03 Aug 2025

Sources: Florida Department of State