| Entity Name: | PANACEA ALLIANCE CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Sep 2008 (16 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 03 Dec 2019 (5 years ago) |
| Document Number: | P08000084221 |
| FEI/EIN Number | 263347708 |
| Address: | 1750 TREE BLVD, SUITE 5, ST AUGUSTINE, FL, 32084, US |
| Mail Address: | 1750 TREE BLVD, SUITE 5, ST AUGUSTINE, FL, 32084, US |
| ZIP code: | 32084 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326298803 | 2008-09-22 | 2024-04-16 | 1750 TREE BLVD STE 5, ST AUGUSTINE, FL, 320845719, US | 1750 TREE BLVD, STE 5, ST AUGUSTINE, FL, 320845715, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 904-342-0672 |
| Fax | 9043420673 |
Authorized person
| Name | ENEIDA GOMEZ |
| Role | OWNER |
| Phone | 9043420672 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME83444 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | ME 83444 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DELGADO JOSE A | Agent | 1750 TREE BLVD, ST AUGUSTINE, FL, 32084 |
| Name | Role | Address |
|---|---|---|
| DELGADO JOSE A | Vice President | 1750 TREE BLVD, ST AUGUSTINE, FL, 32084 |
| Name | Role | Address |
|---|---|---|
| ARMS ERIC | Treasurer | 1750 TREE BLVD, ST AUGUSTINE, FL, 32084 |
| Name | Role | Address |
|---|---|---|
| Delgado Jose IPhd | Director | 1750 TREE BLVD, ST AUGUSTINE, FL, 32084 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000084326 | PANACEA ALLIANCE | EXPIRED | 2011-08-25 | 2016-12-31 | No data | 1750 TREE BLVD., STE 5, ST. AUGUSTINE, FL, 32084 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT AND NAME CHANGE | 2019-12-03 | PANACEA ALLIANCE CORP | No data |
| REGISTERED AGENT NAME CHANGED | 2019-12-03 | DELGADO, JOSE A | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-02 | 1750 TREE BLVD, SUITE 5, ST AUGUSTINE, FL 32084 | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-02 | 1750 TREE BLVD, SUITE 5, ST AUGUSTINE, FL 32084 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-02 | 1750 TREE BLVD, SUITE 5, ST AUGUSTINE, FL 32084 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-06-16 |
| Amendment and Name Change | 2019-12-03 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-09 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
