| Entity Name: | PROLIFIC HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Jan 2021 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Aug 2023 (2 years ago) |
| Document Number: | L21000010983 |
| FEI/EIN Number | 85-4260442 |
| Address: | 120 ZEUS CT, OCOEE, FL 34761 |
| Mail Address: | 120 ZEUS CT, OCOEE, FL 34761 |
| ZIP code: | 34761 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457948242 | 2020-12-28 | 2020-12-28 | PO BOX 362, OCOEE, FL, 347610362, US | 120 ZEUS CT, OCOEE, FL, 347612470, US | |||||||||||||
|
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| Phone | +1 252-314-5784 |
Authorized person
| Name | CICELY N PARKER |
| Role | OWNER |
| Phone | 2523145784 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PARKER, CICELY | Agent | 120 ZEUS CT, OCOEE, FL 34761 |
| Name | Role | Address |
|---|---|---|
| PARKER, CICELY | Authorized Representative | 120 ZEUS CT, OCOEE, FL 34761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-08-07 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-08-07 | 120 ZEUS CT, OCOEE, FL 34761 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-08-07 | PARKER, CICELY | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| REINSTATEMENT | 2023-08-07 |
| Florida Limited Liability | 2021-01-04 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
