| Entity Name: | FREDERICK ADOLF PAOLA, MD, JD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Feb 2023 (2 years ago) |
| Document Number: | L23000065424 |
| FEI/EIN Number | 92-2344237 |
| Address: | 6400 DAVIS BLVD, SUITE 104, NAPLES, FL, 34112, US |
| Mail Address: | 9636 MONTELANICO LOOP, UNIT 204, NAPLES, FL, 34119, US |
| ZIP code: | 34112 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437852373 | 2023-03-22 | 2023-03-22 | 9636 MONTELANICO LOOP UNIT 204, NAPLES, FL, 341192146, US | 6400 DAVIS BLVD STE 104, NAPLES, FL, 341045321, US | |||||||||||||||
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| Phone | +1 239-595-4976 |
| Phone | +1 239-624-0650 |
Authorized person
| Name | ELIZABETH ROSS |
| Role | CREDENTIALING MANAGER |
| Phone | 2397321133 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ARCIERI FRANCESCO | Agent | 33024 US HWY 19 NORTH, PALM HARBOR, FL, 34684 |
| Name | Role | Address |
|---|---|---|
| PAOLA FREDERICK | Director | 9636 MONTELANICO LOOP, UNIT 204, NAPLES, FL, 34119 |
| Name | Role | Address |
|---|---|---|
| COLACE ANTONELLA | Manager | 9636 MONTELANICO LOOP, UNIT 204, NAPLES, FL, 34119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-07 | ARCIERI, FRANCESCO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-07 | 33024 US HWY 19 NORTH, PALM HARBOR, FL 34684 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| Florida Limited Liability | 2023-02-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
