| Entity Name: | PROACTIVE MD FL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PROACTIVE MD FL LLC 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 13 Mar 2024 (a year ago) |
| Document Number: | L24000127210 |
| Address: | 124 ALLAWOOD COURT, SIMPSONVILLE, SC, 29681, UN |
| Mail Address: | 124 ALLAWOOD COURT, SIMPSONVILLE, SC, 29681, UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639926991 | 2024-05-03 | 2024-10-09 | 124 ALLAWOOD CT, SIMPSONVILLE, SC, 296816207, US | 5245 41ST ST, VERO BEACH, FL, 329671619, US | |||||||||||||
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| Phone | +1 864-501-0754 |
Authorized person
| Name | JODY ADDAIR |
| Role | CLINICAL OPS PROJECT COORDINATOR |
| Phone | 8645010751 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STONER BENJAMIN R | Authorized Representative | 124 ALLAWOOD COURT, SIMPSONVILLE, SC, 29681 |
| COLLIER JOHN P | Authorized Representative | 124 ALLAWOOD COURT, SIMPSONVILLE, SC, 29681 |
| CRUMPLER JASON J | Authorized Representative | 124 ALLAWOOD COURT, SIMPSONVILLE, SC, 29681 |
| ROWLEY DAVID | Authorized Representative | 124 ALLAWOOD COURT, SIMPSONVILLE, SC, 29681 |
| PROACTIVE MD MANAGEMENT SERVICES, LLC | Authorized Member | - |
| CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-13 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
