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HEALTH COACH DIRECT PRIMARY CARE PRACTICE PLLC

Company Details

Entity Name: HEALTH COACH DIRECT PRIMARY CARE PRACTICE PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 06 Nov 2018 (6 years ago)
Date of dissolution: 09 Aug 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 09 Aug 2022 (3 years ago)
Document Number: L18000260297
FEI/EIN Number 83-2608398
Address: 12300 ALTERNATE HWY A1A, SUITE 106, PALM BEACH GARDENS, FL 33410
Mail Address: 12300 ALTERNATE WAY A1A, SUITE 106, PALM BEACH GARDENS, FL 33410
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467068817 2020-09-21 2020-09-21 12300 ALTERNATE A1A STE 106, PALM BEACH GARDENS, FL, 334102206, US 12300 ALTERNATE A1A STE 106, PALM BEACH GARDENS, FL, 334102206, US

Contacts

Phone +1 561-723-6019

Authorized person

Name DR. RICHARD CHARLES
Role MEDICAL DIRECTOR
Phone 5618184151

Taxonomy

Taxonomy Code 261QC1500X - Community Health Clinic/Center
Is Primary Yes

Agent

Name Role
UNITED STATES CORPORATION AGENTS, INC. Agent

Authorized Member

Name Role Address
JEROME, MARGARETTE Authorized Member 12300 ALTERNATE WAY A1A, SUITE 106 PALM BEACH GARDENS, FL 33410
JOSEPH, JOSSENER Authorized Member 12300 ALTERNATE HWY A1A, STE 106 PALM BEACH GARDENS, FL 33410

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-02-06 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 No data
VOLUNTARY DISSOLUTION 2022-08-09 No data No data
LC AMENDMENT 2020-03-11 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-03-04 12300 ALTERNATE HWY A1A, SUITE 106, PALM BEACH GARDENS, FL 33410 No data
CHANGE OF MAILING ADDRESS 2020-03-04 12300 ALTERNATE HWY A1A, SUITE 106, PALM BEACH GARDENS, FL 33410 No data
LC AMENDMENT 2020-02-13 No data No data

Documents

Name Date
Reg. Agent Resignation 2022-10-13
VOLUNTARY DISSOLUTION 2022-08-09
ANNUAL REPORT 2022-02-04
ANNUAL REPORT 2021-03-04
LC Amendment 2020-03-11
ANNUAL REPORT 2020-03-04
LC Amendment 2020-02-13
ANNUAL REPORT 2019-05-24
Florida Limited Liability 2018-11-06

Date of last update: 16 Feb 2025

Sources: Florida Department of State