| Entity Name: | PRACTITIONER MEDICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Jan 2011 (14 years ago) |
| Document Number: | P11000009589 |
| FEI/EIN Number | 27-4730598 |
| Address: | 9740 vineyard court, Boca Raton, FL 33428 |
| Mail Address: | 9740 vineyard court, Boca Raton, FL 33428 |
| ZIP code: | 33428 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548545601 | 2011-10-19 | 2012-09-06 | 22274 SW 61ST AVE, BOCA RATON, FL, 334284410, US | 3075 NW 35TH AVE, LAUDERDALE LAKES, FL, 333111107, US | |||||||||||||||||||
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| Phone | +1 561-843-2325 |
| Fax | 5614836266 |
Authorized person
| Name | MARIE MICHELLE CARNER |
| Role | PRESIDENT |
| Phone | 5618432325 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | P11000009589 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARNER, MARIE M | Agent | 9740 vineyard court, Boca Raton, FL 33428 |
| Name | Role | Address |
|---|---|---|
| Carner, Marie M | APRN | 9740 vineyard court, Boca Raton, FL 33428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-10 | 9740 vineyard court, Boca Raton, FL 33428 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-10 | 9740 vineyard court, Boca Raton, FL 33428 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-10 | 9740 vineyard court, Boca Raton, FL 33428 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-03-19 |
| ANNUAL REPORT | 2020-05-12 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-05-13 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
