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TRUDELL DOCTOR, MD AND ASSOCIATES, LLC - Florida Company Profile

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Company Details

Entity Name: TRUDELL DOCTOR, MD AND ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 May 2022 (3 years ago)
Document Number: L22000244285
FEI/EIN Number 88-2496442
Address: 6080 BOYNTON BEACH BLVD, SUITE 230, BOYNTON BEACH, FL, 33437
Mail Address: 6080 BOYNTON BEACH BLVD, SUITE 230, BOYNTON BEACH, FL, 33437
ZIP code: 33437
City: Boynton Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DOCTOR TRUDELL A Manager 6080 BOYNTON BEACH BLVD, BOYNTON BEACH, FL, 33437
DOCTOR TRUDELL A Agent 6080 BOYNTON BEACH BLVD, BOYNTON BEACH, FL, 33437

National Provider Identifier

NPI Number:
1649919762
Certification Date:
2023-08-21

Authorized Person:

Name:
CHRISTA HARDING
Role:
PRACTICE ADMIN
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8669500144

Form 5500 Series

Employer Identification Number (EIN):
882496442
Plan Year:
2024
Number Of Participants:
7
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-04-11 6080 BOYNTON BEACH BLVD, SUITE 230, BOYNTON BEACH, FL 33437 -

Documents

Name Date
ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2023-04-11
Florida Limited Liability 2022-05-26

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Date of last update: 02 Aug 2025

Sources: Florida Department of State