| Entity Name: | PGIC HEALTHCARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Jul 2021 (4 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 19 Apr 2023 (2 years ago) |
| Document Number: | P21000064376 |
| FEI/EIN Number | 87-1747132 |
| Address: | 1495 FOREST HILL BLVD., STE A3, WEST PALM BEACH, FL, 33406, US |
| Mail Address: | 1495 FOREST HILL BLVD., STE A3, WEST PALM BEACH, FL, 33406, US |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447929468 | 2021-09-13 | 2023-06-29 | 1860 TUCKER RD, WEST PALM BEACH, FL, 334066586, US | 1495 FOREST HILL BLVD STE A3, WEST PALM BEACH, FL, 334066073, US | |||||||||||||||
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| Phone | +1 786-567-2561 |
| Phone | +1 561-270-0267 |
Authorized person
| Name | PAULA MARIA GONZALEZ PEREZ |
| Role | OWNER/NURSE PRACTITIONER - FAMILY |
| Phone | 7865672561 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ PEREZ PAULA M | Agent | 4250 PARK LN, WEST PALM BEACH, FL, 33406 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ PEREZ PAULA M | President | 1495 FOREST HILL BLVD, WEST PALM BEACH, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2023-04-19 | No data | No data |
| AMENDMENT | 2021-09-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-14 | 1495 FOREST HILL BLVD., STE A3, WEST PALM BEACH, FL 33406 | No data |
| CHANGE OF MAILING ADDRESS | 2021-09-14 | 1495 FOREST HILL BLVD., STE A3, WEST PALM BEACH, FL 33406 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-03 |
| ANNUAL REPORT | 2024-01-20 |
| AMENDED ANNUAL REPORT | 2023-05-04 |
| Amendment | 2023-04-19 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-02-26 |
| Amendment | 2021-09-14 |
| Domestic Profit | 2021-07-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
