Entity Name: | OHANA HEALTH, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 26 Jun 2017 (8 years ago) |
Document Number: | P17000055308 |
FEI/EIN Number | 822015611 |
Address: | 50 SPRING VISTA DRIVE, DEBARY, FL, 32713, US |
Mail Address: | 50 Spring Vista Dr, Debary, FL, 32713, US |
ZIP code: | 32713 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1639691215 | 2017-07-14 | 2020-03-31 | 50 SPRING VISTA DR, DEBARY, FL, 327131809, US | 50 SPRING VISTA DR, DEBARY, FL, 32713, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 386-279-3087 |
Phone | +1 386-748-3900 |
Authorized person
Name | DR. KRISTYNA D PARADIS |
Role | CEO |
Phone | 3862793087 |
Taxonomy
Taxonomy Code | 207P00000X - Emergency Medicine Physician |
License Number | OS8737 |
State | FL |
Is Primary | No |
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | No |
Taxonomy Code | 207QA0505X - Adult Medicine Physician |
Is Primary | No |
Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
Is Primary | No |
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
PARADIS KRISTINE | Agent | 1750 Old Titusville Road, Enterprise, FL, 32725 |
Name | Role | Address |
---|---|---|
PARADIS KRISTINE | President | 1750 OLD TITUSVILLE RD., ENTERPRISE, 32725 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2024-07-30 | 50 SPRING VISTA DRIVE, DEBARY, FL 32713 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-03-18 | 1750 Old Titusville Road, Enterprise, FL 32725 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2018-03-22 | 50 SPRING VISTA DRIVE, DEBARY, FL 32713 | No data |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2024-07-30 |
ANNUAL REPORT | 2024-03-18 |
ANNUAL REPORT | 2023-03-02 |
ANNUAL REPORT | 2022-04-05 |
ANNUAL REPORT | 2021-04-01 |
ANNUAL REPORT | 2020-04-22 |
ANNUAL REPORT | 2019-03-21 |
Reg. Agent Change | 2018-03-22 |
ANNUAL REPORT | 2018-01-16 |
Domestic Profit | 2017-06-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State