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HEALTH PROFESSIONAL CONNECT INC

Company Details

Entity Name: HEALTH PROFESSIONAL CONNECT INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Feb 2020 (5 years ago)
Last Event: AMENDMENT
Event Date Filed: 05 Aug 2021 (4 years ago)
Document Number: P20000014820
FEI/EIN Number 84-5010260
Address: 10101 W Sample Rd, Coral Springs, FL, 33314, US
Mail Address: 10101 W Sample Rd, Coral Springs, FL, 33314, US
ZIP code: 33314
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740055060 2023-11-16 2023-11-28 10101 W SAMPLE RD, CORAL SPRINGS, FL, 330653937, US 10101 W SAMPLE RD, CORAL SPRINGS, FL, 330653937, US

Contacts

Phone +1 954-686-7321

Authorized person

Name KASHAWN NELSON FRASER
Role CEO
Phone 5616357819

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary No

Agent

Name Role Address
FRASER KASHAWN Agent 10101 W Sample Rd, Coral Springs, FL, 33314

Chief Executive Officer

Name Role Address
FRASER KASHAWN Chief Executive Officer 10101 W Sample Rd, Coral Springs, FL, 33314

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000157778 FITNESSATYOURDOOR ACTIVE 2020-12-12 2025-12-31 No data 606 ANDERSON CIR #202, DEERFIELD BEACH, FL, 33441

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-21 10101 W Sample Rd, Coral Springs, FL 33314 No data
CHANGE OF MAILING ADDRESS 2024-04-21 10101 W Sample Rd, Coral Springs, FL 33314 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-21 10101 W Sample Rd, Coral Springs, FL 33314 No data
AMENDMENT 2021-08-05 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-21
ANNUAL REPORT 2023-04-16
ANNUAL REPORT 2022-03-28
Amendment 2021-08-05
ANNUAL REPORT 2021-02-10
Domestic Profit 2020-02-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State