| Entity Name: | PALMS CLINICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Oct 2019 (5 years ago) |
| Document Number: | P19000077282 |
| FEI/EIN Number | 84-3371232 |
| Address: | 17008 PALM POINTE DR, TAMPA, FL, 33647, US |
| Mail Address: | 17008 PALM POINTE DR, TAMPA, FL, 33647, US |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447898101 | 2019-12-12 | 2019-12-12 | 17008 PALM POINTE DR STE 101, TAMPA, FL, 336473504, US | 17008 PALM POINTE DR STE 101, TAMPA, FL, 336473504, US | |||||||||||||
|
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| Phone | +1 813-252-9063 |
Authorized person
| Name | SHAHIDA AMAR CHOUDHRY |
| Role | DIRECTOR |
| Phone | 8132529063 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARILE STEPHEN | Agent | 9301 RIVER COVER DR, RIVERVIEW, FL, 33578 |
| Name | Role | Address |
|---|---|---|
| CHOUDHRY SHAHIDA DR | President | 17008 PALM POINTE DR, TAMPA, FL, 33647 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-18 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-06-08 |
| Domestic Profit | 2019-10-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
