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OUTREACH HEALTH, INCORPORATED

Company Details

Entity Name: OUTREACH HEALTH, INCORPORATED
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 17 Jan 2020 (5 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: P20000007347
FEI/EIN Number NOT APPLICABLE
Address: 240 NORTH FREDERICK AVENUE, DAYTONA BEACH, FL, 32114, US
Mail Address: 240 NORTH FREDERICK AVENUE, DAYTONA BEACH, FL, 32114, US
ZIP code: 32114
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528699352 2020-01-30 2020-01-30 240 N FREDERICK AVE, DAYTONA BEACH, FL, 321143400, US 240 N FREDERICK AVE, DAYTONA BEACH, FL, 321143400, US

Contacts

Phone +1 386-255-5569
Fax 3862571245

Authorized person

Name DR. CHESTER LEE WILSON JR.
Role CHIEF EXECUTIVE OFFICER
Phone 3866750098

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role Address
WILSON CHESTER LJR Agent 240 NORTH FREDERICK AVENUE, DAYTONA BEACH, FL, 32114

President

Name Role Address
WILSON CHESTER LJR President 1416 MOLLIE ROAD, DAYTONA BEACH, FL, 32114

Vice President

Name Role Address
WILSON APRIL M Vice President 1416 MOLLIE ROAD, DAYTONA BEACH, FL, 32114

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2021-04-30
Domestic Profit 2020-01-17

Date of last update: 02 Feb 2025

Sources: Florida Department of State