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OPERATION PHOENIX MEN'S HEALTH, PLLC

Company Details

Entity Name: OPERATION PHOENIX MEN'S HEALTH, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 18 Dec 2023 (a year ago)
Last Event: LC NAME CHANGE
Event Date Filed: 21 Mar 2024 (10 months ago)
Document Number: L23000555810
FEI/EIN Number 99-2486743
Address: 1834-A Jaclif Ct., Tallahassee, FL 32308
Mail Address: 1834-A Jaclif Ct., Tallahassee, FL 32308
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811745094 2024-05-11 2024-05-11 1834A JACLIF CT, TALLAHASSEE, FL, 323084400, US 1834A JACLIF CT, TALLAHASSEE, FL, 323084400, US

Contacts

Phone +1 888-280-1988
Fax 8663163947

Authorized person

Name CATHERINE DIVINGTON
Role PRESIDENT
Phone 8882801988

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
Divingian, Catherine, Dr. Agent 1834-A Jaclif Ct., Tallahassee, FL 32308

Manager

Name Role Address
DIVINGIAN, CATHERINE Manager 1834-A Jaclif Ct., Tallahassee, FL 32308

Authorized Member

Name Role Address
Divingian, Darius Authorized Member 1834-A Jaclif Ct., Tallahassee, FL 32308

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000044336 PRIMUS ED SOLUTIONS ACTIVE 2024-03-31 2029-12-31 No data 7901 4TH ST N, SUITE 300, ST. PETERSBURG, FL, 33702

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-23 1834-A Jaclif Ct., Tallahassee, FL 32308 No data
CHANGE OF MAILING ADDRESS 2024-04-23 1834-A Jaclif Ct., Tallahassee, FL 32308 No data
REGISTERED AGENT NAME CHANGED 2024-04-23 Divingian, Catherine, Dr. No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-23 1834-A Jaclif Ct., Tallahassee, FL 32308 No data
LC NAME CHANGE 2024-03-21 OPERATION PHOENIX MEN'S HEALTH, PLLC No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-04-23
AMENDED ANNUAL REPORT 2024-04-15
LC Name Change 2024-03-21
ANNUAL REPORT 2024-03-15
Florida Limited Liability 2023-12-18

Date of last update: 08 Jan 2025

Sources: Florida Department of State