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5 STAR HEALTHCARE CONSULTANTS, INC.

Company Details

Entity Name: 5 STAR HEALTHCARE CONSULTANTS, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 02 Feb 2018 (7 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Oct 2024 (3 months ago)
Document Number: P18000011499
FEI/EIN Number 82-4299402
Address: 5401 South Kirkman Road, Suite 310, Orlando, FL 32819
Mail Address: 3632 ARCH STREET, ORLANDO, FL 32808 UN
ZIP code: 32819
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811519994 2020-05-12 2023-07-20 3632 ARCH ST, ORLANDO, FL, 328087408, US 5401 S KIRKMAN RD, ORLANDO, FL, 328197940, US

Contacts

Phone +1 407-766-8865
Phone +1 800-721-8839

Authorized person

Name TEQUILA GOLDEN
Role FAMILY NURSE PRACTICTIONER
Phone 4077668865

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes
Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary No

Agent

Name Role Address
GOLDEN, TEQUILA Agent 5401 South Kirkman Road, Suite 310, Orlando, FL 32819

President

Name Role Address
GOLDEN, TEQUILA President 3632 ARCH STREET, ORLANDO, FL 32808

Chief Executive Officer

Name Role Address
GOLDEN, TEQUILA Chief Executive Officer 3632 ARCH STREET, ORLANDO, FL 32808 UN

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-10-17 No data No data
REGISTERED AGENT NAME CHANGED 2024-10-17 GOLDEN, TEQUILA No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-04-04 5401 South Kirkman Road, Suite 310, Orlando, FL 32819 No data
REGISTERED AGENT ADDRESS CHANGED 2019-04-04 5401 South Kirkman Road, Suite 310, Orlando, FL 32819 No data

Documents

Name Date
REINSTATEMENT 2024-10-17
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-03-25
ANNUAL REPORT 2021-03-18
ANNUAL REPORT 2020-05-31
ANNUAL REPORT 2019-04-04
Domestic Profit 2018-02-02

Date of last update: 18 Jan 2025

Sources: Florida Department of State