| Entity Name: | BETHSAIDA HEALTHCARE SYSTEM, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Aug 2017 (8 years ago) |
| Document Number: | P17000065578 |
| FEI/EIN Number | 82-4465257 |
| Address: | 910 OLD CAMP ROAD, BLDG 140, SUITE 144, THE VILLAGES, FL 32162 |
| Mail Address: | 910 OLD CAMP ROAD, BLDG 140, SUITE 144, THE VILLAGES, FL 32162 |
| ZIP code: | 32162 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003385055 | 2018-11-20 | 2018-11-20 | 910 OLD CAMP RD STE 144, THE VILLAGES, FL, 321625609, US | 910 OLD CAMP RD STE 144, THE VILLAGES, FL, 321625609, US | |||||||||||||||||||||||
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| Phone | +1 352-753-2224 |
| Fax | 3537530833 |
Authorized person
| Name | FELIX C AGBO |
| Role | OWNER |
| Phone | 3527532224 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| AGBO, FELIX C | Agent | 910 OLD CAMP ROAD, BLDG 140, SUITE 144, THE VILLAGES, FL 32162 |
| Name | Role | Address |
|---|---|---|
| AGBO, FELIX C | President | 910 OLD CAMP ROAD, BLDG 140, SUITE 144, THE VILLAGES, FL 32162 |
| Name | Role | Address |
|---|---|---|
| AGBO, FELIX C | Director | 910 OLD CAMP ROAD, BLDG 140, SUITE 144, THE VILLAGES, FL 32162 |
| AGBO, PEACE C | Director | 910 OLD CAMP ROAD, BLDG 140, SUITE 144, THE VILLAGES, FL 32162 |
| Name | Role | Address |
|---|---|---|
| AGBO, PEACE C | Vice President | 910 OLD CAMP ROAD, BLDG 140, SUITE 144, THE VILLAGES, FL 32162 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-02-18 |
| ANNUAL REPORT | 2022-01-13 |
| ANNUAL REPORT | 2021-01-20 |
| ANNUAL REPORT | 2020-03-08 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-02-21 |
| Domestic Profit | 2017-08-03 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
