| Entity Name: | SERVICE HEALING CLINIC INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 Oct 2006 (18 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: | P06000128931 |
| Address: | 4300 10TH AVE NORTH, SUITE 3, LAKE WORTH, FL, 33461 |
| Mail Address: | 4300 10TH AVE NORTH, SUITE 3, LAKE WORTH, FL, 33461 |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073679056 | 2006-12-28 | 2020-08-22 | 4300 10TH AVE N, SUITE 3, LAKE WORTH, FL, 334612322, US | 4300 10TH AVE N, SUITE 3, LAKE WORTH, FL, 334612322, US | |||||||||||||||||||||||||
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| Phone | +1 561-584-0315 |
| Fax | 3056752668 |
Authorized person
| Name | MR. HUMBERTO MACHIN |
| Role | PRESIDENT |
| Phone | 5615840315 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC7438 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE |
| Number | HCC7438 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BARRABI HUMBERTO M | Agent | 19410 NW 48 COURT, OPA LOCKA, FL, 33055 |
| Name | Role | Address |
|---|---|---|
| BARRABI HUMBERTO M | President | 19410 NW 48 COURT, OPA LOCKA, FL, 33055 |
| Name | Role | Address |
|---|---|---|
| BARRABI HUMBERTO M | Director | 19410 NW 48 COURT, OPA LOCKA, FL, 33055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-10-01 | 4300 10TH AVE NORTH, SUITE 3, LAKE WORTH, FL 33461 | No data |
| CHANGE OF MAILING ADDRESS | 2025-10-01 | 4300 10TH AVE NORTH, SUITE 3, LAKE WORTH, FL 33461 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| AMENDMENT | 2006-10-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-10-26 | BARRABI, HUMBERTO M | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-10-26 | 19410 NW 48 COURT, OPA LOCKA, FL 33055 | No data |
| Name | Date |
|---|---|
| Amendment | 2006-10-26 |
| Domestic Profit | 2006-10-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
