| Entity Name: | PHYSICIANS WELLNESS CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Feb 2005 (20 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P05000024679 |
| FEI/EIN Number | 202364793 |
| Address: | 6894 LAKE WORTH ROAD, SUITE 104, LAKE WORTH, FL, 33467, US |
| Mail Address: | 6894 LAKE WORTH ROAD, SUITE 104, LAKE WORTH, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114958873 | 2006-07-05 | 2009-06-02 | 6894 LAKE WORTH RD, SUITE 104, LAKE WORTH, FL, 334672964, US | 6894 LAKE WORTH RD, SUITE 104, LAKE WORTH, FL, 334672964, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 561-964-9191 |
Authorized person
| Name | DR. SABRINA MORGEN |
| Role | CLINIC DIRECTOR |
| Phone | 5619649191 |
Taxonomy
| Taxonomy Code | 111NS0005X - Sports Physician Chiropractor |
| License Number | CH 7582 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME 60439 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 262388900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MORGEN SABRINA | Agent | 6894 LAKE WORTH ROAD, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| MORGEN SABRINA | President | 6894 LAKE WORTH ROAD, LAKE WORTH, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-03-12 |
| ANNUAL REPORT | 2013-02-28 |
| ANNUAL REPORT | 2012-02-24 |
| ANNUAL REPORT | 2011-02-17 |
| ANNUAL REPORT | 2010-02-16 |
| ANNUAL REPORT | 2009-04-12 |
| ANNUAL REPORT | 2008-04-15 |
| ANNUAL REPORT | 2007-04-18 |
| ANNUAL REPORT | 2006-02-01 |
| Domestic Profit | 2005-02-16 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
