| 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 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558917484 | 2019-08-15 | 2020-08-20 | 229 GOLDEN OAKS LN, ST AUGUSTINE, FL, 320806111, US | 229 GOLDEN OAKS LN, ST AUGUSTINE, FL, 320806111, US | |||||||||||||||||||||
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| Phone | +1 904-806-6403 |
| Fax | 9044718569 |
| Phone | +1 661-476-7051 |
Authorized person
| Name | WILLIAM REGAN |
| Role | PRESIDENT AND DIRECTOR |
| Phone | 9048066403 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HALL FINANCIAL CORPORATION | Agent |
| Name | Role | Address |
|---|---|---|
| REGAN WILLIAM F | President | 229 GOLDEN OAKS LANE, ST AUGUSTINE, FL, 32084 |
| Name | Role | Address |
|---|---|---|
| REGAN WILLIAM F | Director | 229 GOLDEN OAKS LANE, ST AUGUSTINE, FL, 32084 |
| 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 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
