| Entity Name: | SAMUEL & PHILOGENE, PA. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Aug 1998 (27 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 14 Oct 2007 (17 years ago) |
| Document Number: | P98000068417 |
| FEI/EIN Number | 650851419 |
| Address: | 606 S. MAIN ST, BELLE GLADE, FL, 33430, US |
| Mail Address: | 606 S. MAIN ST, BELLE GLADE, FL, 33430, US |
| ZIP code: | 33430 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932270501 | 2006-11-13 | 2020-08-22 | 141 S MAIN ST, SUITE 131, BELLE GLADE, FL, 334303473, US | 141 S MAIN ST, SUITE 131, BELLE GLADE, FL, 334303473, US | |||||||||||||||||||||||||||
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| Phone | +1 561-996-3933 |
| Fax | 5619963908 |
Authorized person
| Name | ALLAIX PHILOGENE |
| Role | PRESIDENT |
| Phone | 5619963933 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME50445 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME50474 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HEFFERNAN RICHARD L | Agent | 3657 WESTGATE AVE, W PALM BEACH, FL, 33409 |
| Name | Role | Address |
|---|---|---|
| PHILOGENE ALLAIX | Director | 94 OLD COUNTRY ROAD SOUTH, WELLINGTON, FL, 33414 |
| SAMUEL MARITZA E | Director | 94 OLD COUNTRY ROAD SOUTH, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-25 | 606 S. MAIN ST, BELLE GLADE, FL 33430 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-25 | 606 S. MAIN ST, BELLE GLADE, FL 33430 | No data |
| CANCEL ADM DISS/REV | 2007-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-03-30 | 3657 WESTGATE AVE, W PALM BEACH, FL 33409 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-03-26 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-11 |
| ANNUAL REPORT | 2015-04-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
