| Entity Name: | PRIMARY HEALTHCARE ALLIANCE FOUNDATION INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 13 Nov 2019 (5 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | N19000012123 |
| FEI/EIN Number |
84-3662472
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1445 DUNN AVE, SUITE B, DAYTONA BEACH, FL, 32114, US |
| Mail Address: | 1445 DUNN AVE, SUITE B, DAYTONA BEACH, FL, 32114, US |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063039303 | 2020-07-02 | 2020-07-02 | 1445 DUNN AVE STE B, DAYTONA BEACH, FL, 321141437, US | 1445 DUNN AVE STE B, DAYTONA BEACH, FL, 321141437, US | |||||||||||||||
|
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| Phone | +1 386-238-9527 |
| Fax | 3864925059 |
Authorized person
| Name | MARIA BAEZ |
| Role | VICE PRESIDENT |
| Phone | 3862389527 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BAEZ MORALES CARLOS | President | 1445 DUNN AVE SUITE B, DAYTONA BEACH, FL, 32114 |
| BAEZ MARIA | Vice President | 1445 DUNN AVE SUITE B, DAYTONA BEACH, FL, 32114 |
| BAEZ CARLOS | Agent | 1445 DUNN AVE, DAYTONA BEACH, FL, 32114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| NAME CHANGE AMENDMENT | 2020-08-03 | PRIMARY HEALTHCARE ALLIANCE FOUNDATION INC | - |
| AMENDMENT | 2020-07-16 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-26 | 1445 DUNN AVE, SUITE B, DAYTONA BEACH, FL 32114 | - |
| CHANGE OF MAILING ADDRESS | 2020-06-26 | 1445 DUNN AVE, SUITE B, DAYTONA BEACH, FL 32114 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-26 | 1445 DUNN AVE, SUITE B, DAYTONA BEACH, FL 32114 | - |
| Name | Date |
|---|---|
| Name Change | 2020-08-03 |
| Amendment | 2020-07-16 |
| ANNUAL REPORT | 2020-06-26 |
| Domestic Non-Profit | 2019-11-13 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
