| Entity Name: | HEALTHEAST MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Oct 2003 (21 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | P03000107629 |
| FEI/EIN Number | 200280267 |
| Address: | 6245 N. FEDERAL HIGHWAY, #202, FORT LAUDERDALE, FL, 33308 |
| Mail Address: | 6245 N. FEDERAL HIGHWAY, #202, FORT LAUDERDALE, FL, 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073726378 | 2007-05-07 | 2020-08-22 | 6300 NW 5TH WAY, SUITE 150, FT LAUDERDALE, FL, 333096110, US | 6300 NW 5TH WAY, SUITE 150, FT LAUDERDALE, FL, 333096110, US | |||||||||||||||||||||||||
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| Phone | +1 954-771-1007 |
| Fax | 9547719930 |
Authorized person
| Name | DR. IRIS CHEN |
| Role | ACUPUNCTURE PHYSICIAN |
| Phone | 9547711007 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP 1262 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS # |
| Number | C005L |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHEN IRIS | Agent | 2831 NE 55TH PLACE, FT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| CHEN IRIS | President | 2831 NE 55TH PLACE, FT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| CHEN IRIS | Vice President | 2831 NE 55TH PLACE, FT LAUDERDALE, FL, 33308 |
| CHEN DAVID | Vice President | 2831 NE 55TH PLACE, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| CHEN IRIS | Treasurer | 2831 NE 55TH PLACE, FT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| CHEN IRIS | Secretary | 2831 NE 55TH PLACE, FT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-04-28 | CHEN, IRIS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-28 | 2831 NE 55TH PLACE, FT LAUDERDALE, FL 33308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-04-28 |
| ANNUAL REPORT | 2004-04-23 |
| Domestic Profit | 2003-10-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
