| Entity Name: | COMPREHENSIVE HEALTHCARE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 May 2000 (25 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 05 Nov 2004 (20 years ago) |
| Document Number: | P00000048677 |
| FEI/EIN Number | 593645524 |
| Mail Address: | 646 Hills Blvd, PORT ORANGE, FL, 32127, US |
| Address: | 646 Hills Boulevard, PORT ORANGE, FL, 32127, US |
| ZIP code: | 32127 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326093527 | 2006-05-24 | 2023-01-18 | 646 HILLS BLVD, PORT ORANGE, FL, 321272902, US | 575 N CLYDE MORRIS BLVD STE A, DAYTONA BEACH, FL, 321142318, US | |||||||||||||||||||||||||||
|
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| Phone | +1 321-443-9924 |
| Fax | 8009304957 |
| Phone | +1 321-355-7377 |
Authorized person
| Name | RIAZ RAHMAN |
| Role | PRESIDENT |
| Phone | 3214439924 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME72252 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 252738300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAHMAN RIAZ | Agent | 646 Hills Blvd., PORT ORANGE, FL, 32127 |
| Name | Role | Address |
|---|---|---|
| RAHMAN RIAZ | Manager | 646 Hills Blvd, PORT ORANGE, FL, 32127 |
| RIAZ NAGINA | Manager | 6658 MERRYVALE LANE, PORT ORANGE, FL, 32128 |
| RAHMAN ALEENA | Manager | 6658 MERRYVALE LANE, PORT ORANGE, FL, 32128 |
| RIAZ BURHAN | Manager | 6658 MERRYVALE LANE, PORT ORANGE, FL, 32128 |
| RAHMAN IQRA | Manager | 6658 MERRYVALE LA, PORT ORANGE, FL, 32128 |
| RAHMAN ZAHRA | Manager | 6658 MERRYVALE LA, PORT ORANGE, FL, 32128 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000037149 | MIND BODY WELLNESS CENTER | ACTIVE | 2022-03-22 | 2027-12-31 | No data | 646 HILLS BLVD, PORT ORANGE, FL, 32127 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-02-04 | RAHMAN, RIAZ | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-14 | 646 Hills Boulevard, PORT ORANGE, FL 32127 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-14 | 646 Hills Boulevard, PORT ORANGE, FL 32127 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-14 | 646 Hills Blvd., PORT ORANGE, FL 32127 | No data |
| REINSTATEMENT | 2004-11-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-17 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-03-14 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-03-26 |
| ANNUAL REPORT | 2015-03-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
