Entity Name: | PRIMARY HEALTH CARE SERVICES, INC |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 04 Feb 2015 (10 years ago) |
Date of dissolution: | 23 Sep 2016 (8 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2016 (8 years ago) |
Document Number: | P15000012017 |
Address: | 18106 SW 145 AVE, MIAMI, FL, 33177, US |
Mail Address: | 18106 SW 145 AVE, MIAMI, FL, 33177, US |
ZIP code: | 33177 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1811388242 | 2015-02-06 | 2015-02-06 | 12741 SW 42ND ST, SUITE 108, MIAMI, FL, 331753429, US | 12741 SW 42ND ST, SUITE 108, MIAMI, FL, 331753429, US | |||||||||||||||||||
|
Phone | +1 786-505-6178 |
Fax | 7865049672 |
Authorized person
Name | ABID CHAUDHRY |
Role | MEDICAL DOCTOR |
Phone | 7865056178 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
License Number | ME100581 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GONZALEZ ROEL A | Agent | 18106 SW 145 AVE, MIAMI, FL, 33177 |
Name | Role | Address |
---|---|---|
GONZALEZ ROEL A | President | 18106 SW 145 AVE, MIAMI, FL, 33177 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
AMENDMENT | 2015-05-20 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2015-05-20 | 18106 SW 145 AVE, MIAMI, FL 33177 | No data |
CHANGE OF MAILING ADDRESS | 2015-05-20 | 18106 SW 145 AVE, MIAMI, FL 33177 | No data |
REGISTERED AGENT NAME CHANGED | 2015-05-20 | GONZALEZ, ROEL A | No data |
Name | Date |
---|---|
Amendment | 2015-05-20 |
Domestic Profit | 2015-02-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State