Entity Name: | GUARDIAN ANGEL HEALTH SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 28 Feb 2005 (20 years ago) |
Last Event: | AMENDMENT |
Event Date Filed: | 25 Mar 2015 (10 years ago) |
Document Number: | P05000030105 |
FEI/EIN Number | 202360244 |
Address: | 1931 Dr. MLK Jr. Boulevard, TAMPA, FL, 33607, US |
Mail Address: | 1931 Dr. MLK Jr. Boulevard, TAMPA, FL, 33607, US |
ZIP code: | 33607 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1619022100 | 2007-01-24 | 2024-09-24 | 3550 W WATERS AVE STE 101, TAMPA, FL, 336142767, US | 1931 W DR MARTIN LUTHER KING JR BLVD STE A2, TAMPA, FL, 336076529, US | |||||||||||||||||||||
|
Phone | +1 813-877-5320 |
Fax | 8136446919 |
Fax | 8133040763 |
Authorized person
Name | ALEXEIS MACUYA |
Role | OWNER. |
Phone | 8138775320 |
Taxonomy
Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
License Number | 26QR0401X |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MACUYA-HORTA ALEXEIS | Agent | 3550 W WATERS AVE, TAMPA, FL, 33614 |
Name | Role | Address |
---|---|---|
MACUYA-HORTA ALEXEIS | President | 5714 IMPERIAL KEY, TAMPA, FL, 33614 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2023-08-01 | 1931 Dr. MLK Jr. Boulevard, TAMPA, FL 33607 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2023-08-01 | 1931 Dr. MLK Jr. Boulevard, TAMPA, FL 33607 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2020-08-25 | 3550 W WATERS AVE, STE 101, TAMPA, FL 33614 | No data |
AMENDMENT | 2015-03-25 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2015-01-30 | MACUYA-HORTA, ALEXEIS | No data |
AMENDMENT | 2011-01-21 | No data | No data |
AMENDMENT | 2010-02-11 | No data | No data |
CANCEL ADM DISS/REV | 2009-12-01 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
AMENDMENT | 2008-03-27 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-22 |
ANNUAL REPORT | 2023-02-20 |
ANNUAL REPORT | 2022-04-06 |
ANNUAL REPORT | 2021-03-10 |
AMENDED ANNUAL REPORT | 2020-08-25 |
ANNUAL REPORT | 2020-03-19 |
ANNUAL REPORT | 2019-01-31 |
ANNUAL REPORT | 2018-03-07 |
ANNUAL REPORT | 2017-03-27 |
AMENDED ANNUAL REPORT | 2016-12-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State