| Entity Name: | PROACTIVELY HEALTH CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Jul 2017 (8 years ago) |
| Document Number: | P17000063552 |
| FEI/EIN Number | 82-2331005 |
| Address: | 3750 W 16TH AVE, SUITE 208, HIALEAH, FL, 33012, US |
| Mail Address: | 3750 W 16TH AVE, SUITE 208, HIALEAH, FL, 33012, US |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194508341 | 2023-08-14 | 2023-08-14 | 3750 W 16TH AVE STE 208, HIALEAH, FL, 330124648, US | 3750 W 16TH AVE STE 208, HIALEAH, FL, 330124648, US | |||||||||||||
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| Phone | +1 786-389-7598 |
Authorized person
| Name | LIUVA CRUZ DUQUE |
| Role | CEO |
| Phone | 7863897598 |
Taxonomy
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CRUZ DUQUE LIUVA | Agent | 3030 NW 17 ST, MIAMI, FL, 33125 |
| Name | Role | Address |
|---|---|---|
| CRUZ DUQUE LIUVA | President | 7621 SW 96 AVE, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| MARQUES OTTO | Vice President | 3082 NW 17 ST, MIAMI, FL, 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-23 | 3030 NW 17 ST, MIAMI, FL 33125 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-07-09 | 3750 W 16TH AVE, SUITE 208, HIALEAH, FL 33012 | No data |
| CHANGE OF MAILING ADDRESS | 2020-07-09 | 3750 W 16TH AVE, SUITE 208, HIALEAH, FL 33012 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-02-19 | CRUZ DUQUE, LIUVA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-08 |
| AMENDED ANNUAL REPORT | 2020-07-09 |
| ANNUAL REPORT | 2020-02-21 |
| ANNUAL REPORT | 2019-02-01 |
| ANNUAL REPORT | 2018-02-19 |
| Domestic Profit | 2017-07-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
