| Entity Name: | PRIMARY HEALTHCARE ALLIANCE FOUNDATION INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 13 Nov 2019 (5 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: | N19000012123 |
| FEI/EIN Number | 84-3662472 |
| Address: | 1445 DUNN AVE, SUITE B, DAYTONA BEACH, FL 32114 |
| Mail Address: | 1445 DUNN AVE, SUITE B, DAYTONA BEACH, FL 32114 |
| 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, CARLOS | Agent | 1445 DUNN AVE, SUITE B, DAYTONA BEACH, FL 32114 |
| Name | Role | Address |
|---|---|---|
| BAEZ MORALES, CARLOS | President | 1445 DUNN AVE SUITE B, DAYTONA BEACH, FL 32114 |
| Name | Role | Address |
|---|---|---|
| BAEZ, MARIA | Vice President | 1445 DUNN AVE SUITE B, DAYTONA BEACH, FL 32114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| NAME CHANGE AMENDMENT | 2020-08-03 | PRIMARY HEALTHCARE ALLIANCE FOUNDATION INC | No data |
| AMENDMENT | 2020-07-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-26 | 1445 DUNN AVE, SUITE B, DAYTONA BEACH, FL 32114 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-26 | 1445 DUNN AVE, SUITE B, DAYTONA BEACH, FL 32114 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-26 | 1445 DUNN AVE, SUITE B, DAYTONA BEACH, FL 32114 | No data |
| 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: 16 Jan 2025
Sources: Florida Department of State
