Entity Name: | PROHEALTH DIAGNOSTIC SERVICE CORP |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 24 Jun 2020 (5 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 21 Dec 2022 (2 years ago) |
Document Number: | P20000047883 |
FEI/EIN Number | 85-3370231 |
Address: | 601 SW 57 AVE, MIAMI, FL, 33144, US |
Mail Address: | 601 SW 57 AVE, MIAMI, FL, 33144, US |
ZIP code: | 33144 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1992378699 | 2021-07-20 | 2021-07-20 | 601 SW 57TH AVE STE B, MIAMI, FL, 331443974, US | 601 SW 57TH AVE STE B, MIAMI, FL, 331443974, US | |||||||||||||||
|
Phone | +1 305-833-8278 |
Fax | 3054024620 |
Authorized person
Name | FABIENNE PEREZ |
Role | OWNER |
Phone | 3058338278 |
Taxonomy
Taxonomy Code | 208D00000X - General Practice Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
PEREZ FABIENNE | Agent | 601 SW 57 AVE, MIAMI, FL, 33144 |
Name | Role | Address |
---|---|---|
PEREZ FABIENNE | President | 601 SW 57 AVE, MIAMI, FL, 33144 |
DIAZ JAKSEL ASr. | President | 601 SW 57 AVE, MIAMI, FL, 33144 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2022-12-21 | PEREZ, FABIENNE | No data |
REINSTATEMENT | 2022-12-21 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2021-07-13 | 601 SW 57 AVE, B, MIAMI, FL 33144 | No data |
CHANGE OF MAILING ADDRESS | 2021-07-13 | 601 SW 57 AVE, B, MIAMI, FL 33144 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2021-07-13 | 601 SW 57 AVE, B, MIAMI, FL 33144 | No data |
AMENDMENT | 2020-09-21 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-10 |
ANNUAL REPORT | 2023-04-14 |
REINSTATEMENT | 2022-12-21 |
AMENDED ANNUAL REPORT | 2021-07-13 |
ANNUAL REPORT | 2021-03-16 |
Amendment | 2020-09-21 |
Domestic Profit | 2020-06-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State