Entity Name: | PRIORITY HEALTH 770 INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 09 Nov 2020 (4 years ago) |
Document Number: | P20000089698 |
FEI/EIN Number | 85-4013879 |
Address: | 4801 ALBACORE LN UNIT 220, FORT MYERS, FL 33319 |
Mail Address: | 4801 ALBACORE LN UNIT 220, FORT MYERS, FL 33919 |
ZIP code: | 33319 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1245836055 | 2020-12-07 | 2020-12-07 | 7130 NW 45TH CT, LAUDERHILL, FL, 333194066, US | 7130 NW 45TH CT, LAUDERHILL, FL, 333194066, US | |||||||||||||
|
Phone | +1 239-200-1716 |
Authorized person
Name | ADAYAH S ALMARAL |
Role | NP |
Phone | 2392001716 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ALMARAL, ADAYAH S | Agent | 4801 ALBACORE LN UNIT 220, FORT MYERS, FL 33919 |
Name | Role | Address |
---|---|---|
ALMARAL, ADAYAH s | President | 4801 ALBACORE LN UNIT 220, FORT MYERS, FL 33919 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2023-03-28 | 4801 ALBACORE LN UNIT 220, FORT MYERS, FL 33319 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2023-03-28 | 4801 ALBACORE LN UNIT 220, FORT MYERS, FL 33919 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2021-07-21 | 4801 ALBACORE LN UNIT 220, FORT MYERS, FL 33319 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-28 |
ANNUAL REPORT | 2023-03-28 |
ANNUAL REPORT | 2022-01-27 |
ANNUAL REPORT | 2021-01-24 |
Domestic Profit | 2020-11-09 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State