Entity Name: | HELEN A. PRESTON, MD PA |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 20 Mar 2009 (16 years ago) |
Document Number: | P09000026104 |
FEI/EIN Number | 26-4727038 |
Address: | 131 E. REDSTONE AVE., SUITE 110, CRESTVIEW, FL, 32539-5355, US |
Mail Address: | 131 E. REDSTONE AVE., SUITE 110, CRESTVIEW, FL, 32539-5355, US |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1538473103 | 2010-08-05 | 2012-02-28 | 131 E REDSTONE AVE, SUITE 105, CRESTVIEW, FL, 325395355, US | 131 E REDSTONE AVE, SUITE 105, CRESTVIEW, FL, 325395326, US | |||||||||||||||||||||||||
|
Phone | +1 850-398-5922 |
Fax | 8503986133 |
Phone | +1 850-499-9371 |
Fax | 8502794507 |
Authorized person
Name | MRS. ANGELIKA M ARROYO |
Role | OFFICE MANAGER |
Phone | 8503985922 |
Taxonomy
Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 280585500 |
State | FL |
Name | Role | Address |
---|---|---|
Johnson Kevin L | Agent | 131 E. Redstone Avenue, Crestview, FL, 32539 |
Name | Role | Address |
---|---|---|
PRESTON HELEN A | President | 131 E. REDSTONE AVE., SUITE 110, CRESTVIEW, FL, 325395355 |
Name | Role | Address |
---|---|---|
PRESTON HELEN A | Director | 131 E. REDSTONE AVE., SUITE 110, CRESTVIEW, FL, 325395355 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G17000093511 | COMPREHENSIVE HEART AND SLEEP | EXPIRED | 2017-08-23 | 2022-12-31 | No data | 131 E. REDSTONE AVENUE, SUITE 110, CRESTVIEW, FL, 32539 |
G10000073378 | COMPREHENSIVE HEART & SLEEP | EXPIRED | 2010-08-10 | 2015-12-31 | No data | 131 E REDSTONE AVE, SUITE 105, CRESTVIEW, FL, 32578 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2018-03-12 | Johnson, Kevin L | No data |
CHANGE OF PRINCIPAL ADDRESS | 2014-04-15 | 131 E. REDSTONE AVE., SUITE 110, CRESTVIEW, FL 32539-5355 | No data |
CHANGE OF MAILING ADDRESS | 2014-04-15 | 131 E. REDSTONE AVE., SUITE 110, CRESTVIEW, FL 32539-5355 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2014-04-15 | 131 E. Redstone Avenue, Suite 110, Crestview, FL 32539 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-25 |
ANNUAL REPORT | 2023-01-23 |
ANNUAL REPORT | 2022-01-24 |
ANNUAL REPORT | 2021-01-13 |
ANNUAL REPORT | 2020-01-16 |
ANNUAL REPORT | 2019-02-13 |
ANNUAL REPORT | 2018-03-12 |
ANNUAL REPORT | 2017-03-31 |
ANNUAL REPORT | 2016-01-15 |
ANNUAL REPORT | 2015-03-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State