Entity Name: | PRECISION MEDICAL BHRT INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 07 Mar 2024 (a year ago) |
Document Number: | P24000017712 |
Address: | 1691 FORUM PL, STE B #164, WEST PALM BEACH, FL 33401 |
Mail Address: | 1691 FORUM PL, STE B #164, 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 | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1033965769 | 2024-04-24 | 2024-04-24 | 1691 FORUM PL STE B164, WEST PALM BCH, FL, 334012336, US | 1691 FORUM PL STE B164, WEST PALM BCH, FL, 334012336, US | |||||||||||||
|
Phone | +1 561-794-5068 |
Authorized person
Name | MR. CARSON HENDERSON |
Role | PA-C |
Phone | 5617945068 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HENDERSON, CARSON T | Agent | 6671 RIPARIAN RD, LAKE WORTH, FL 33462 |
Name | Role | Address |
---|---|---|
HENDERSON, CARSON T | Director | 6671 RIPARIAN RD, LAKE WORTH, FL 33462 |
JASO, RICK | Director | 11251 SW SPRINGTREE TERRACE, PORT ST. LUCIE, FL 34987 |
JASO, RENE | Director | 5290 S LOOP 1604 W, VON ORMY, TX 78073 |
Name | Date |
---|---|
Domestic Profit | 2024-03-07 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State