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PRIZM MEDICAL INC.

Company Details

Entity Name: PRIZM MEDICAL INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 13 Oct 2005 (19 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: P05000138870
FEI/EIN Number 20-3603858
Address: 800 8th Ave. west, #7, palmetto, FL 34221
Mail Address: P.O.BOX 733, ELLENTON, FL 34222
ZIP code: 34221
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295822807 2006-10-06 2020-08-22 1991 HYDE PARK ST, SUITE 1, SARASOTA, FL, 342393600, US 1991 HYDE PARK ST, SUITE 1, SARASOTA, FL, 342393600, US

Contacts

Phone +1 941-955-9818

Authorized person

Name MS. JENNIFER LYNN KUHLE
Role OFFICE MANAGER
Phone 9419559818

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME82917
State FL
Is Primary Yes

Agent

Name Role Address
GARDI, LES CPA Agent 7061 S TAMIAMI TRAIL, SARASOTA, FL 34231-5559

Director

Name Role Address
YAFFE, MICHAEL G Director 800 8th Ave W, 7 Palmetto, FL 34221

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000105596 ACCESS PAIN CARE EXPIRED 2012-10-31 2017-12-31 No data PO BOX 733, ELLENTON, FL, 34222

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2014-06-06 800 8th Ave. west, #7, palmetto, FL 34221 No data
CHANGE OF MAILING ADDRESS 2013-04-30 800 8th Ave. west, #7, palmetto, FL 34221 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2014-06-06
ANNUAL REPORT 2014-03-29
ANNUAL REPORT 2013-04-30
ANNUAL REPORT 2012-04-15
ANNUAL REPORT 2011-02-24
ANNUAL REPORT 2010-01-27
ANNUAL REPORT 2009-04-17
ANNUAL REPORT 2008-02-21
ANNUAL REPORT 2007-04-30
ANNUAL REPORT 2006-05-01

Date of last update: 03 Jan 2025

Sources: Florida Department of State