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CRYSTAL NURSING SERVICE, INC. - Florida Company Profile

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Company Details

Entity Name: CRYSTAL NURSING SERVICE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 26 Oct 2016 (9 years ago)
Date of dissolution: 27 Sep 2019 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (6 years ago)
Document Number: P16000087029
FEI/EIN Number 81-4284320
Address: 980 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33432, US
Mail Address: 980 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33432, US
ZIP code: 33432
City: Boca Raton
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PORJA DURIM President 980 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33432
PORJA DURIM Director 980 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33432
THOMPSON PATRICK Vice President 980 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33432
THOMPSON PATRICK Director 980 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33432
PORJA ARDIANA Treasurer 980 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33432
PORJA ARDIANA Director 980 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33432
THOMPSON MICHELLE Secretary 980 NORTH FEDERAL HIGHWAY, BOCA RATON, FL, 33432
LOWELL KAREN Agent 20 SOUTHEAST 20TH STREET, FORT LAUDERDALE, FL, 33316

National Provider Identifier

NPI Number:
1164922613

Authorized Person:

Name:
MR. PATRICK KIRK THOMPSON
Role:
VP / ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
No
Selected Taxonomy:
374U00000X - Home Health Aide
Is Primary:
Yes

Contacts:

Fax:
5614098250

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
AMENDMENT 2017-04-04 - -
AMENDMENT AND NAME CHANGE 2016-12-15 CRYSTAL NURSING SERVICE, INC. -
CHANGE OF PRINCIPAL ADDRESS 2016-12-02 980 NORTH FEDERAL HIGHWAY, SUITE 110, BOCA RATON, FL 33432 -
CHANGE OF MAILING ADDRESS 2016-12-02 980 NORTH FEDERAL HIGHWAY, SUITE 110, BOCA RATON, FL 33432 -

Documents

Name Date
ANNUAL REPORT 2018-03-18
Amendment 2017-04-04
Amendment and Name Change 2016-12-15
Domestic Profit 2016-10-26

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Date of last update: 03 Jul 2025

Sources: Florida Department of State