| Entity Name: | RAPID RESPONSE MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Sep 2021 (3 years ago) |
| Document Number: | L21000402348 |
| FEI/EIN Number | 872597877 |
| Address: | 2093 SE FERN PARK DRIVE, PORT ST LUCIE, FL, 34952, US |
| Mail Address: | 2093 SE FERN PARK DRIVE, PORT ST LUCIE, FL, 34952, US |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942942677 | 2022-04-12 | 2022-08-02 | 2093 SE FERN PARK DR, PORT ST LUCIE, FL, 349528005, US | 2093 SE FERN PARK DR, PORT ST LUCIE, FL, 349528005, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 772-486-1135 |
| Fax | 7726734623 |
Authorized person
| Name | CARL ABDENROTH |
| Role | OWNER/ PROVIDER |
| Phone | 7724861135 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1124075197 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GAGNON TONYA | Agent | 2093 SE FERN PARK DRIVE, PORT ST LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| GAGNON TONYA | Manager | 2093 SE FERN PARK DRIVE, PORT ST LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| ABENDROTH JOHN DR | Member | 2093 SE FERN PARK DRIVE, PORT ST LUCIE, FL, 34952 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-02-25 |
| Florida Limited Liability | 2021-09-10 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
