| Entity Name: | PRIORITY HEALTH CENTER, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Jun 2019 (6 years ago) |
| Date of dissolution: | 14 Nov 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 14 Nov 2023 (a year ago) |
| Document Number: | P19000052758 |
| FEI/EIN Number | 84-3635036 |
| Address: | 4800 NE 20TH TERR, SUITE 211-D, FORT LAUDERDALE, FL, 33308, US |
| Mail Address: | 510 SE 6TH TERR., POMPANO, FL, 33060, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679195713 | 2020-05-12 | 2020-05-12 | 4800 NE 20TH TER STE 211D, FORT LAUDERDALE, FL, 333084510, US | 4800 NE 20TH TER STE 211D, FORT LAUDERDALE, FL, 333084510, US | |||||||||||||
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| Phone | +1 954-438-4015 |
Authorized person
| Name | YASIM MONTENEGRO |
| Role | CREDENTIALING SPECIALIST |
| Phone | 9549347053 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EKEDEDE MAGNUS OMD | Agent | 510 SE 6TH TERR., POMPANO, FL, 33060 |
| Name | Role | Address |
|---|---|---|
| GAINZA EKEDEDE REBECA | President | 510 SE 6TH TERR., POMPANO, FL, 33060 |
| Name | Role | Address |
|---|---|---|
| EKEDEDE DANIELA N | Vice President | 510 SE 6TH TERR., POMPANO, FL, 33060 |
| Name | Role | Address |
|---|---|---|
| EKEDEDE MAGNUS D | Secretary | 510 SE 6TH TERR., POMPANO, FL, 33060 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-11-14 | No data | WITH NOTICE |
| CHANGE OF PRINCIPAL ADDRESS | 2019-11-12 | 4800 NE 20TH TERR, SUITE 211-D, FORT LAUDERDALE, FL 33308 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2023-11-14 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-02-05 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-03-24 |
| Domestic Profit | 2019-06-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
