Entity Name: | PRIORITY HEALTH MEDICAL CENTER INC |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 18 Nov 2019 (5 years ago) |
Date of dissolution: | 24 Sep 2021 (3 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 24 Sep 2021 (3 years ago) |
Document Number: | P19000089341 |
FEI/EIN Number | 84-3779923 |
Address: | 3660 CENTRAL AVE, 6, FORT MYERS, FL, 33901 |
Mail Address: | 3660 CENTRAL AVE, 6, FORT MYERS, FL, 33901 |
ZIP code: | 33901 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1861031015 | 2020-01-04 | 2020-01-04 | 3660 CENTRAL AVE STE 6, FORT MYERS, FL, 339017647, US | 3660 CENTRAL AVE STE 6, FORT MYERS, FL, 339017647, US | |||||||||||||||
|
Phone | +1 239-689-6697 |
Fax | 2396896703 |
Authorized person
Name | NICK J MYRTIL |
Role | OWNER |
Phone | 7862509490 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MYRTIL NICK J | Agent | 11211 S MILITARY TRAIL, BOYNTON, FL, 33436 |
Name | Role | Address |
---|---|---|
MYRTIL NICK J | President | 3660 CENTRAL AVE UNIT 6, FT MYERS, FL, 33901 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2020-03-25 |
Domestic Profit | 2019-11-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State