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PARADIGM MEDICAL SERVICES, INC.

Company Details

Entity Name: PARADIGM MEDICAL SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 Apr 2001 (24 years ago)
Document Number: P01000041953
FEI/EIN Number 593716694
Address: 100 ARRICOLA AVENUE, ST AUGUSTINE, FL, 32080, US
Mail Address: 100 ARRICOLA AVENUE, ST AUGUSTINE, FL, 32080, US
ZIP code: 32080
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154747905 2014-03-17 2014-03-17 5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA, 921211705, US 650 W PLYMOUTH AVE, DELAND, FL, 327203260, US

Contacts

Phone +1 386-873-4771

Authorized person

Name KENNY HEINE
Role VP OF OPERATIONS
Phone 8589641506

Taxonomy

Taxonomy Code 332900000X - Non-Pharmacy Dispensing Site
License Number ME96725
State FL
Is Primary Yes

Agent

Name Role Address
HINMAN ROY HII Agent 100 ARRICOLA AVENUE, ST AUGUSTINE, FL, 32080

President

Name Role Address
HINMAN, II ROY HMD President 100 ARRICOLA AVENUE, ST AUGUSTINE, FL, 32080

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000030933 DELAND QUICK CARE EXPIRED 2017-03-23 2022-12-31 No data 650 WEST PLYMOUTH AVE, DEALND, FL, 32720
G11000005483 DELAND QUICK CARE CLINIC EXPIRED 2011-01-11 2016-12-31 No data 650 W. PLYMOUTH AVE., DELAND, FL, 32720

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
AMENDMENT 2018-12-06 No data No data
REINSTATEMENT 2018-10-10 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
NAME CHANGE AMENDMENT 2011-01-05 PARADIGM MEDICAL SERVICES, INC. No data
REINSTATEMENT 2002-10-30 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2002-10-04 No data No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State