| Entity Name: | HOLISTIC FAMILY HEALTH CLINIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
HOLISTIC FAMILY HEALTH CLINIC, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 20 Sep 2002 (23 years ago) |
| Document Number: | P02000102731 |
| FEI/EIN Number |
270032179
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6060 Oak St, Mims, FL, 32754, US |
| Mail Address: | PO BOX 259, SCOTTSMOOR, FL, 32775 |
| ZIP code: | 32754 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154503902 | 2007-12-04 | 2007-12-04 | PO BOX 259, SCOTTSMOOR, FL, 327750259, US | 3620 S HOPKINS AVE, SUITE 101, TITUSVILLE, FL, 327805707, US | |||||||||||||||||||||||
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| Phone | +1 321-385-1000 |
Authorized person
| Name | DEBORAH LEE |
| Role | DIRECTOR |
| Phone | 3213851000 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | AP1651 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUECROSS BLUESHIELD |
| Number | C0840 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEE DEBORAH A | President | PO BOX 259, SCOTTSMOOR, FL, 32775 |
| LEE DEBORAH A | Agent | 6060 OAK ST, Mims, FL, 32754 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-20 | 6060 Oak St, Mims, FL 32754 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-15 | 6060 OAK ST, Mims, FL 32754 | - |
| CHANGE OF MAILING ADDRESS | 2010-04-11 | 6060 Oak St, Mims, FL 32754 | - |
| REGISTERED AGENT NAME CHANGED | 2010-04-11 | LEE, DEBORAH A | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-16 |
| ANNUAL REPORT | 2021-04-18 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-04-21 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-08 |
| ANNUAL REPORT | 2015-04-03 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
