| Entity Name: | INTREPID FAMILY MEDICINE PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
INTREPID FAMILY MEDICINE PLLC 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: | 19 Oct 2021 (4 years ago) |
| Date of dissolution: | 22 Sep 2023 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (2 years ago) |
| Document Number: | L21000455606 |
| FEI/EIN Number |
87-3184828
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1411 North Flagler Drive, WEST PALM BEACH, FL, 33401, US |
| Mail Address: | 1411 North Flagler Drive, WEST PALM BEACH, FL, 33401, US |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831803121 | 2023-01-11 | 2023-01-11 | 1411 N FLAGLER DR STE 8200, WEST PALM BEACH, FL, 334013413, US | 1411 N FLAGLER DR STE 8200, WEST PALM BEACH, FL, 334013413, US | |||||||||||||||
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| Phone | +1 561-612-3200 |
| Fax | 5613355424 |
Authorized person
| Name | DR. DONALD LEVEILLE |
| Role | CEO |
| Phone | 5616123200 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEVEILLE DONALD | Manager | 6313 C DURHAM DR, LAKE WORTH, FL, 33467 |
| EMILE STACY D | Manager | 6313 C DURHAM DR, LAKE WORTH, FL, 33467 |
| SPIEGEL & UTRERA, P.A. | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2025-03-04 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-23 | 1411 North Flagler Drive, Suite 8200, WEST PALM BEACH, FL 33401 | - |
| CHANGE OF MAILING ADDRESS | 2022-04-23 | 1411 North Flagler Drive, Suite 8200, WEST PALM BEACH, FL 33401 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-23 |
| Florida Limited Liability | 2021-10-19 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
