| Entity Name: | PRIMARY AND TRANSITIONAL CARE SERVICE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 06 Aug 2021 (4 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P21000070948 |
| Address: | 1501 11TH STREET, WEST PALM BEACH, FL 33401 |
| Mail Address: | 1501 11TH STREET, WEST PALM BEACH, FL 33401 |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558035352 | 2021-08-04 | 2021-08-04 | 1501 11TH ST, WEST PALM BEACH, FL, 334013038, US | 1501 11TH ST, WEST PALM BEACH, FL, 334013038, US | |||||||||||||
|
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| Phone | +1 561-537-9028 |
Authorized person
| Name | KENOL CICERON |
| Role | APRN |
| Phone | 5615379028 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CICERON, KENOL | Agent | 1501 11TH ST, WEST PALM BEACH, FL 33401 |
| Name | Role | Address |
|---|---|---|
| CICERON, KENOL | President | 1501 11TH ST, WEST PALM BEACH, FL 33401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-11-01 | 1501 11TH STREET, WEST PALM BEACH, FL 33401 | No data |
| CHANGE OF MAILING ADDRESS | 2025-11-01 | 1501 11TH STREET, WEST PALM BEACH, FL 33401 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-01 | 1501 11TH STREET, WEST PALM BEACH, FL 33401 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-01 | 1501 11TH STREET, WEST PALM BEACH, FL 33401 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2021-08-06 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
