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TOTAL MEDICAL HEALTHCARE P.C.

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Company Details

Name: TOTAL MEDICAL HEALTHCARE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 23 Jul 2014 (11 years ago)
Date of dissolution: 05 Apr 2022
Entity Number: 4610602
ZIP code: 11901
County: Suffolk
Place of Formation: New York
Address: 400 W MAIN STREET, SUITE 101, RIVERHEAD, NY, United States, 11901

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
DIMOS KANAKOUDAS DOS Process Agent 400 W MAIN STREET, SUITE 101, RIVERHEAD, NY, United States, 11901

National Provider Identifier

NPI Number:
1619377488

Authorized Person:

Name:
DR. DIMOS KANAKOUDAS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9044177177
Fax:
6313171010

Form 5500 Series

Employer Identification Number (EIN):
471472748
Plan Year:
2022
Number Of Participants:
0
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
0
Sponsors Telephone Number:

History

Start date End date Type Value
2014-07-23 2022-04-05 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2014-07-23 2022-08-06 Address 400 W MAIN STREET, SUITE 101, RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220806000386 2022-04-05 CERTIFICATE OF DISSOLUTION-CANCELLATION 2022-04-05
140723000078 2014-07-23 CERTIFICATE OF INCORPORATION 2014-07-23

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State