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PROHEALTH DIAGNOSTIC SERVICE CORP

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
PEREZ FABIENNE Agent 601 SW 57 AVE, MIAMI, FL, 33144

President

Name Role Address
PEREZ FABIENNE President 601 SW 57 AVE, MIAMI, FL, 33144
DIAZ JAKSEL ASr. President 601 SW 57 AVE, MIAMI, FL, 33144

Events

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

Documents

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