| Entity Name: | PGNM INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 14 May 2014 (11 years ago) |
| Date of dissolution: | 29 Apr 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Apr 2022 (3 years ago) |
| Document Number: | P14000043426 |
| FEI/EIN Number | 46-5688071 |
| Address: | 1515 NW 167TH STREET, SUITE 336, MIAMI GARDENS, FL 33169 |
| Mail Address: | 1515 NW 167TH STREET, SUITE 336, MIAMI GARDENS, FL 33169 |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639580061 | 2014-05-20 | 2014-05-21 | 9198 NW 8TH AVE, MIAMI, FL, 331502004, US | 9198 NW 8TH AVE, MIAMI, FL, 331502004, US | |||||||||||||||||||||||||
|
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| Phone | +1 786-202-6338 |
Authorized person
| Name | MR. ROBERT GRANT NIZNIK |
| Role | CEO |
| Phone | 7862026338 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| NIZNIK, ROBERT | President | 1515 NW 167TH STREET, SUITE 336 MIAMI GARDENS, FL 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-10-19 | 1515 NW 167TH STREET, SUITE 336, MIAMI GARDENS, FL 33169 | No data |
| CHANGE OF MAILING ADDRESS | 2018-10-19 | 1515 NW 167TH STREET, SUITE 336, MIAMI GARDENS, FL 33169 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-19 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-10-19 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-29 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-01-25 |
| ANNUAL REPORT | 2019-02-05 |
| Reg. Agent Change | 2018-10-19 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-01-04 |
| ANNUAL REPORT | 2016-02-09 |
| ANNUAL REPORT | 2015-01-15 |
| Domestic Profit | 2014-05-14 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
