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PRIORITY HEALTH MD INC. - Florida Company Profile

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Company Details

Entity Name: PRIORITY HEALTH MD INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Dec 2021 (4 years ago)
Document Number: P22000000945
FEI/EIN Number 87-4138525
Address: 9999 Sheridan Street, Cooper City, FL, 33024, US
Mail Address: 9999 Sheridan Street, Cooper City, FL, 33024, US
ZIP code: 33024
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FERNANDEZ-BLAY ROBERTO President 9999 Sheridan Street, Cooper City, FL, 33024
Fernandez-Blay Roberto Agent 9999 Sheridan Street, Cooper City, FL, 33024

National Provider Identifier

NPI Number:
1891447694
Certification Date:
2022-12-13

Authorized Person:

Name:
DR. ROBERTO FERNANDEZ-BLAY
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-19 9999 Sheridan Street, Suite 120, Cooper City, FL 33024 -
CHANGE OF MAILING ADDRESS 2023-01-19 9999 Sheridan Street, Suite 120, Cooper City, FL 33024 -
REGISTERED AGENT NAME CHANGED 2023-01-19 Fernandez-Blay, Roberto -
REGISTERED AGENT ADDRESS CHANGED 2023-01-19 9999 Sheridan Street, Suite 120, Cooper City, FL 33024 -

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-04-13
Domestic Profit 2021-12-28

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Date of last update: 02 Aug 2025

Sources: Florida Department of State