| Entity Name: | IDINA HEALTH, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Apr 2022 (3 years ago) |
| Document Number: | P22000034416 |
| FEI/EIN Number | 88-2253400 |
| Address: | 8481 Siciliano Street, Boynton Beach, FL, 33472, US |
| Mail Address: | 8481 Siciliano Street, Boynton Beach, FL, 33472, US |
| ZIP code: | 33472 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528776705 | 2022-11-07 | 2022-11-07 | 8927 HYPOLUXO RD # A-118, LAKE WORTH, FL, 334675262, US | 8481 SICILIANO ST, BOYNTON BEACH, FL, 334727168, US | |||||||||||||||
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| Phone | +1 562-702-8403 |
| Phone | +1 561-702-8403 |
Authorized person
| Name | MR. HENRY LAVON HALL |
| Role | PRESIDENT |
| Phone | 5617028403 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HALL HENRY L | Agent | 8481 SICILIANO STREET, BOYNTON BEACH, FL, 33472 |
| Name | Role | Address |
|---|---|---|
| Hall Henry L | Owne | 8481 Siciliano Street, Boynton Beach, FL, 33472 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-30 | 8481 Siciliano Street, Boynton Beach, FL 33472 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-30 | 8481 Siciliano Street, Boynton Beach, FL 33472 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-01-30 |
| Domestic Profit | 2022-04-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
