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PREMIUM CHOICE MEDICAL, INC.

Company Details

Entity Name: PREMIUM CHOICE MEDICAL, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 10 Apr 2006 (19 years ago)
Date of dissolution: 19 Dec 2007 (17 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 19 Dec 2007 (17 years ago)
Document Number: P06000051599
FEI/EIN Number 204760658
Address: 311 DEL PRADO BLVD., SOUTH, UNIT 1, CAPE CORAL, FL, 33990
Mail Address: 311 DEL PRADO BLVD., SOUTH, UNIT 1, CAPE CORAL, FL, 33990
ZIP code: 33990
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114973609 2006-05-26 2020-08-22 311 DEL PRADO BLVD, UNIT 1, CAPE CORAL, FL, 33990, US 311 DEL PRADO BLVD, UNIT 1, CAPE CORAL, FL, 33990, US

Contacts

Phone +1 239-574-9121
Fax 2395749028

Authorized person

Name LEIDY I BOZA
Role PRESIDENT
Phone 3058660216

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
BOZA LEIDY I Agent 311 DEL PRADO BLVD.,, CAPE CORAL, FL, 33990

President

Name Role Address
BOZA LEIDY I President 311 DEL PRADO BLVD., SOUTH, UNIT 1, CAPE CORAL, FL, 33990

Director

Name Role Address
BOZA LEIDY I Director 311 DEL PRADO BLVD., SOUTH, UNIT 1, CAPE CORAL, FL, 33990

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2007-12-19 No data No data
REGISTERED AGENT ADDRESS CHANGED 2007-09-19 311 DEL PRADO BLVD.,, S UNIT #1, CAPE CORAL, FL 33990 No data
AMENDMENT 2007-09-19 No data No data
REGISTERED AGENT NAME CHANGED 2007-09-19 BOZA, LEIDY I No data
AMENDMENT 2007-07-17 No data No data
CHANGE OF PRINCIPAL ADDRESS 2007-02-20 311 DEL PRADO BLVD., SOUTH, UNIT 1, CAPE CORAL, FL 33990 No data
CHANGE OF MAILING ADDRESS 2007-02-20 311 DEL PRADO BLVD., SOUTH, UNIT 1, CAPE CORAL, FL 33990 No data
AMENDMENT 2007-02-20 No data No data
AMENDMENT 2006-10-05 No data No data
AMENDMENT 2006-05-24 No data No data

Documents

Name Date
Voluntary Dissolution 2007-12-19
Amendment 2007-09-19
Amendment 2007-07-17
Amendment 2007-02-20
ANNUAL REPORT 2007-01-22
Amendment 2006-10-05
Amendment 2006-05-24
Amendment 2006-04-25
Domestic Profit 2006-04-10

Date of last update: 03 Feb 2025

Sources: Florida Department of State