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PRIZM HEALTHCARE SERVICES, PA - Florida Company Profile

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Company Details

Entity Name: PRIZM HEALTHCARE SERVICES, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Jul 2019 (6 years ago)
Document Number: P19000060652
FEI/EIN Number 84-2511928
Address: 229 GOLDEN OAKS LANE, ST AUGUSTINE, FL, 32080
Mail Address: 229 GOLDEN OAKS LANE, ST AUGUSTINE, FL, 32080
ZIP code: 32080
City: Saint Augustine
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
REGAN WILLIAM F President 229 GOLDEN OAKS LANE, ST AUGUSTINE, FL, 32084
REGAN WILLIAM F Director 229 GOLDEN OAKS LANE, ST AUGUSTINE, FL, 32084
- Agent -

National Provider Identifier

NPI Number:
1558917484
Certification Date:
2020-08-20

Authorized Person:

Name:
WILLIAM REGAN
Role:
PRESIDENT AND DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9044718569

Documents

Name Date
ANNUAL REPORT 2024-04-07
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-01-27
Domestic Profit 2019-07-25

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Date of last update: 01 Aug 2025

Sources: Florida Department of State