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PRIME HEALING CORP

Company Details

Entity Name: PRIME HEALING CORP
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 26 Sep 2019 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 14 Jan 2021 (4 years ago)
Document Number: P19000076026
FEI/EIN Number 84-3337455
Address: 6488 NW 99 AVE, PARKLAND, FL 33076
Mail Address: 6488 NW 99TH AVE, Parkland, FL 33076
ZIP code: 33076
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356984652 2019-10-20 2019-10-20 10101 W SAMPLE RD, CORAL SPRINGS, FL, 330653907, US 10101 W SAMPLE RD, CORAL SPRINGS, FL, 330653907, US

Contacts

Phone +1 954-864-3996
Fax 3472271368

Authorized person

Name MR. TONY OUSTABASSIDIS
Role CEO
Phone 9548643996

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role Address
CHRISTINE, LADA Agent 6488 NW 99 AVE, PARKLAND, FL 33076

Director

Name Role Address
LADA, CHRISTINE Director 6488 NW 99TH AVE, Parkland, FL 33076

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-21 6488 NW 99 AVE, PARKLAND, FL 33076 No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-21 6488 NW 99 AVE, PARKLAND, FL 33076 No data
CHANGE OF MAILING ADDRESS 2022-04-05 6488 NW 99 AVE, PARKLAND, FL 33076 No data
REINSTATEMENT 2021-01-14 No data No data
REGISTERED AGENT NAME CHANGED 2021-01-14 CHRISTINE, LADA No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
AMENDMENT 2019-11-12 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-21
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-05
REINSTATEMENT 2021-01-14
Amendment 2019-11-12
Domestic Profit 2019-09-26

Date of last update: 15 Feb 2025

Sources: Florida Department of State