| Entity Name: | AZULLA COMMUNITY HEALTH CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 26 May 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Oct 2020 (4 years ago) |
| Document Number: | P16000047065 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 2677 Forest Hill Blvd, Unit 125, WEST PALM BEACH, FL 33406 |
| Mail Address: | 2677 Forest Hill Blvd, Unit 125, WEST PALM BEACH, FL 33406 |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710748199 | 2024-01-22 | 2024-02-05 | 2677 FOREST HILL BLVD STE 125, PALM SPRINGS, FL, 334065941, US | 8304 W OAKLAND PARK BLVD, SUNRISE, FL, 333517308, US | |||||||||||||||
|
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| Phone | +1 561-725-4971 |
| Fax | 5618558872 |
Authorized person
| Name | VENTRICIA HARRIS-VICTOR |
| Role | ADMINISTRATOR |
| Phone | 5614018018 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| victor, lagny | Agent | 7455 Fairway Tr, Boca Raton, FL 33487 |
| Name | Role | Address |
|---|---|---|
| HARRIS-VICTOR, VENTRICIA | President | 7455 Fairway Tr, BOCA RATON, FL 33487 |
| Name | Role | Address |
|---|---|---|
| HARRIS-VICTOR, VENTRICIA | Director | 7455 Fairway Tr, BOCA RATON, FL 33487 |
| Name | Role | Address |
|---|---|---|
| HARRIS-VICTOR, VENTRICIA | Treasurer | 7455 Fairway Tr, BOCA RATON, FL 33487 |
| Name | Role | Address |
|---|---|---|
| VICTOR, LAGNY PIERRE | Vice President | 7455 Fairway Tr, BOCA RATON, FL 33487 |
| Name | Role | Address |
|---|---|---|
| Victor, Lagny Vendrix | Secretary | 101 plaza real s, 918 boca raton, FL 33432 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-31 | 2677 Forest Hill Blvd, Unit 125, WEST PALM BEACH, FL 33406 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-31 | 2677 Forest Hill Blvd, Unit 125, WEST PALM BEACH, FL 33406 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-31 | 7455 Fairway Tr, Boca Raton, FL 33487 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-08 | victor, lagny | No data |
| REINSTATEMENT | 2020-10-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2016-12-08 | AZULLA COMMUNITY HEALTH CENTER, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-03-18 |
| REINSTATEMENT | 2020-10-08 |
| Amendment and Name Change | 2016-12-08 |
| Domestic Profit | 2016-05-26 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
