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PRIMARY HEALTHCARE ALLIANCE FOUNDATION INC - Florida Company Profile

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Company Details

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 (6 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
City: Daytona Beach
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

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

National Provider Identifier

NPI Number:
1063039303
Certification Date:
2020-07-02

Authorized Person:

Name:
MARIA BAEZ
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3864925059

Events

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 -

Documents

Name Date
Name Change 2020-08-03
Amendment 2020-07-16
ANNUAL REPORT 2020-06-26
Domestic Non-Profit 2019-11-13

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Date of last update: 02 Jul 2025

Sources: Florida Department of State