| Entity Name: | THRIVE HEALTH IV CLINIC, P.C., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 14 Mar 2023 (2 years ago) |
| Document Number: | F23000001489 |
| FEI/EIN Number | 921892501 |
| Address: | 9675 BRIGHTON WAY UNIT 410, BEVERLY HILLS, CA, 90210, US |
| Mail Address: | 9675 BRIGHTON WAY UNIT 410, BEVERLY HILLS, CA, 90210, US |
| Place of Formation: | CALIFORNIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083314785 | 2023-03-09 | 2023-07-07 | 9675 BRIGHTON WAY STE 410, BEVERLY HILLS, CA, 902105192, US | 8940 N KENDALL DR, MIAMI, FL, 331762148, US | |||||||||||||||||||
|
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| Phone | +1 310-363-8757 |
| Fax | 3103638758 |
Authorized person
| Name | KAREN M MULLEN |
| Role | SECRETARY |
| Phone | 3103638757 |
Taxonomy
| Taxonomy Code | 261QI0500X - Infusion Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| DOUGLAS RAYMOND | Director | 9675 BRIGHTON WAY UNIT 410, BEVELRY HILLS, CA, 90210 |
| Name | Role | Address |
|---|---|---|
| DOUGLAS RAYMOND | President | 9675 BRIGHTON WAY UNIT 410, BEVELRY HILLS, CA, 90210 |
| Name | Role | Address |
|---|---|---|
| DOUGLAS RAYMOND | Secretary | 9675 BRIGHTON WAY UNIT 410, BEVELRY HILLS, CA, 90210 |
| Name | Role | Address |
|---|---|---|
| DOUGLAS RAYMOND | Treasurer | 9675 BRIGHTON WAY UNIT 410, BEVELRY HILLS, CA, 90210 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| Foreign Profit | 2023-03-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
