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 |
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 | |||||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
LEVY, RAYMOND | Agent | 9780 E INDIGO STREET, SUITE 202, PALMETTO BAY, FL 33157 |
Name | Role | Address |
---|---|---|
LEVY, RAYMOND | Chief Executive Officer | 9780 E INDIGO STREET, SUITE 202 PALMETTO BAY, FL 33157 |
Name | Role | Address |
---|---|---|
MARTINEZ, HENRIETTA | Chief Financial Officer | 9780 E INDIGO STREET, SUITE 202 PALMETTO BAY, FL 33157 |
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 |
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