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