Entity Name: | HEALING ADVANCED SOLUTIONS INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 18 Jan 2022 (3 years ago) |
Document Number: | P22000006751 |
FEI/EIN Number | 87-4795908 |
Mail Address: | 32 TRIBECA COURT, ST JOHNS, FL, 32259 |
Address: | 11643 Beach Boulevard, Jacksonville, FL, 32246-6604, US |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1275269573 | 2022-07-28 | 2022-07-28 | 11643 BEACH BLVD UNIT A, JACKSONVILLE, FL, 322466604, US | 11643 BEACH BLVD UNIT A, JACKSONVILLE, FL, 322466604, US | |||||||||||||||||||||||||
|
Phone | +1 904-373-1661 |
Fax | 9046196227 |
Authorized person
Name | CATHERINE SEIDLE |
Role | OWNER |
Phone | 9046196227 |
Taxonomy
Taxonomy Code | 363A00000X - Physician Assistant |
Is Primary | No |
Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
Is Primary | Yes |
Other Provider Identifiers
Issuer | LICENSE # |
Number | 9495283 |
State | FL |
Name | Role | Address |
---|---|---|
SEIDLE CATHERINE | Agent | 32 TRIBECA COURT, ST JOHNS, FL, 32259 |
Name | Role | Address |
---|---|---|
SEIDLE CATHERINE | President | 32 TRIBECA COURT, ST JOHNS, FL, 32259 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-01-20 | 11643 Beach Boulevard, Jacksonville, FL 32246-6604 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-12 |
ANNUAL REPORT | 2023-01-20 |
Domestic Profit | 2022-01-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State