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PRACTICE HEALTH, INC.

Company Details

Entity Name: PRACTICE HEALTH, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 01 Dec 2010 (14 years ago)
Document Number: P10000097179
FEI/EIN Number 45-3783541
Address: 9780 E INDIGO STREET, SUITE 202, PALMETTO BAY, FL 33157
Mail Address: 9780 E INDIGO STREET, SUITE 202, PALMETTO BAY, FL 33157
ZIP code: 33157
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306112347 2012-03-23 2012-03-23 9780 E INDIGO ST, SUITE 204, PALMETTO BAY, FL, 331575609, US 9780 E INDIGO ST, SUITE 204, PALMETTO BAY, FL, 331575609, US

Contacts

Phone +1 305-252-9485
Fax 3052529486

Authorized person

Name MR. RAYMOND LEVY
Role CEO
Phone 3052198055

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No
Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role Address
LEVY, RAYMOND Agent 9780 E INDIGO STREET, SUITE 202, PALMETTO BAY, FL 33157

Chief Executive Officer

Name Role Address
LEVY, RAYMOND Chief Executive Officer 9780 E INDIGO STREET, SUITE 202 PALMETTO BAY, FL 33157

Chief Financial Officer

Name Role Address
MARTINEZ, HENRIETTA Chief Financial Officer 9780 E INDIGO STREET, SUITE 202 PALMETTO BAY, FL 33157

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-03-30 9780 E INDIGO STREET, SUITE 202, PALMETTO BAY, FL 33157 No data
CHANGE OF MAILING ADDRESS 2015-03-30 9780 E INDIGO STREET, SUITE 202, PALMETTO BAY, FL 33157 No data
REGISTERED AGENT ADDRESS CHANGED 2015-03-30 9780 E INDIGO STREET, SUITE 202, PALMETTO BAY, FL 33157 No data
REGISTERED AGENT NAME CHANGED 2013-04-25 LEVY, RAYMOND No data

Documents

Name Date
ANNUAL REPORT 2025-01-22
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-13
ANNUAL REPORT 2021-05-03
ANNUAL REPORT 2020-04-24
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-04-21
ANNUAL REPORT 2017-03-29
ANNUAL REPORT 2016-04-13

Date of last update: 24 Jan 2025

Sources: Florida Department of State