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PRESTIGE MEDRYDE LLC

Company Details

Entity Name: PRESTIGE MEDRYDE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 06 Sep 2023 (a year ago)
Document Number: L23000416141
FEI/EIN Number 93-3125140
Address: 310 Almond Street, Suite #315, CLERMONT, FL 34711
Mail Address: 310 Almond Street, Suite # 315, CLERMONT, FL 34711
ZIP code: 34711
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679351647 2023-09-20 2023-09-20 4327 S HWY 27 STE 214, CLERMONT, FL, 347115349, US 1104 CALLAWAY CIRCLE, CLERMONT, FL, 34711, US

Contacts

Phone +1 352-702-7134

Authorized person

Name DONNA JACKSON SHARPE
Role CEO
Phone 3527027134

Taxonomy

Taxonomy Code 343900000X - Non-emergency Medical Transport (VAN)
Is Primary Yes

Agent

Name Role Address
JACKSON SHARPE, DONNA Y Agent 310 Almond Street, Suite # 315, CLERMONT, FL 34711

Manager of Operations

Name Role Address
JACKSON SHARPE, DONNA Y Manager of Operations 310 Almond Street, Suite #315 CLERMONT, FL 34711

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-11 310 Almond Street, Suite #315, CLERMONT, FL 34711 No data
CHANGE OF MAILING ADDRESS 2024-01-11 310 Almond Street, Suite #315, CLERMONT, FL 34711 No data
REGISTERED AGENT ADDRESS CHANGED 2024-01-11 310 Almond Street, Suite # 315, CLERMONT, FL 34711 No data

Documents

Name Date
ANNUAL REPORT 2024-01-11
Florida Limited Liability 2023-09-06

Date of last update: 09 Feb 2025

Sources: Florida Department of State