| Entity Name: | PRISM HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jun 2011 (14 years ago) |
| Document Number: | L11000073376 |
| FEI/EIN Number | 452619942 |
| Address: | 6971 BUSINESS PARK BLVD NORTH, JACKSONVILLE, FL, 32256, US |
| Mail Address: | 6971 BUSINESS PARK BLVD NORTH, JACKSONVILLE, FL, 32256, US |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699183350 | 2014-07-25 | 2023-09-14 | 6971 BUSINESS PARK BLVD N, JACKSONVILLE, FL, 322562777, US | 6971 BUSINESS PARK BLVD N, JACKSONVILLE, FL, 322562777, US | |||||||||||||||||||
|
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| Phone | +1 904-880-9900 |
| Fax | 9048803241 |
Authorized person
| Name | MISS PRACHI B RATHI |
| Role | PRESIDENT |
| Phone | 9048809900 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1313910 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Kothari Manish | Agent | 6971 Business Park Blvd N, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| RATHI PRACHI | Manager | 929 WEST TENNESSEE TRACE, JACKSONVILLE, FL, 32259 |
| KOTHARI MANISH | Manager | 929 WEST TENNESSEE TRACE, JACKSONVILLE, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2015-01-13 | Kothari, Manish | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-13 | 6971 Business Park Blvd N, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-21 | 6971 BUSINESS PARK BLVD NORTH, JACKSONVILLE, FL 32256 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-01-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
