| Entity Name: | PERSONALIZED HEALTH AND PREVENTIVE MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Mar 2016 (9 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L16000046555 |
| FEI/EIN Number | 81-1803316 |
| Address: | 1555 BONAVENTURE BLVD, WESTON, FL, 33326, US |
| Mail Address: | 1555 BONAVENTURE BLVD, WESTON, FL, 33326, US |
| ZIP code: | 33326 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053775718 | 2016-04-08 | 2016-04-08 | 1573 VICTORIA ISLE WAY, WESTON, FL, 333271314, US | 20950 NE 27TH CT, SUITE 305, AVENTURA, FL, 331801232, US | |||||||||||||||||
|
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| Phone | +1 954-621-6094 |
Authorized person
| Name | HAMID FEIZ |
| Role | OWNER |
| Phone | 9546216094 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME87946 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Toca Yngrid M | Agent | 1555 BONAVENTURE BLVD, WESTON, FL, 33326 |
| Name | Role | Address |
|---|---|---|
| Toca Yngrid MMGR | President | 1555 BONAVENTURE BLVD, WESTON, FL, 33326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-21 | 1555 BONAVENTURE BLVD, WESTON, FL 33326 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-21 | 1555 BONAVENTURE BLVD, WESTON, FL 33326 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-21 | 1555 BONAVENTURE BLVD, WESTON, FL 33326 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-02-14 | Toca, Yngrid M | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-21 |
| ANNUAL REPORT | 2018-02-14 |
| ANNUAL REPORT | 2017-04-28 |
| Florida Limited Liability | 2016-03-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
