| Entity Name: | PATIENT PROVIDER NETWORK, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PATIENT PROVIDER NETWORK, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| 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 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1285393694 | 2021-12-13 | 2022-04-24 | 5260 78TH AVE N UNIT 1562, PINELLAS PARK, FL, 337808062, US | 1700 N DIXIE HWY STE 140, BOCA RATON, FL, 334321808, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-415-2308 |
Authorized person
| Name | MICHAEL BAGBY |
| Role | AMBR |
| Phone | 7274152308 |
Taxonomy
| Taxonomy Code | 133NN1002X - Nutrition Education Nutritionist |
| Is Primary | No |
| Taxonomy Code | 170300000X - Genetic Counselor (M.S.) |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QG0250X - Genetics Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR0800X - Recovery Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QV0200X - VA Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| Is Primary | No |
| 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 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-08-02 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
