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RENAISSANCE HOSPITAL ASSOCIATES, INC.

Company Details

Entity Name: RENAISSANCE HOSPITAL ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 11 Dec 2006 (18 years ago)
Date of dissolution: 25 Sep 2009 (15 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2009 (15 years ago)
Document Number: P06000152130
FEI/EIN Number 20-5925846
Address: 3420 FAIRLANE FARMS ROAD, SUITE C, WELLINGTON, FL 33414
Mail Address: 3420 FAIRLANE FARMS ROAD, SUITE C, WELLINGTON, FL 33414
ZIP code: 33414
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114068004 2007-02-12 2020-08-22 3420 FAIRLANE FARMS RD, SUITE C, WELLINGTON, FL, 334148701, US 8660 W FLAGLER ST, SUITE 200, MIAMI, FL, 331442031, US

Contacts

Phone +1 561-798-9800
Fax 5612963456

Authorized person

Name NOEL J GUILLAMA
Role PRESIDENT & CEO
Phone 5617989800

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
GUILLAMA, NOEL J Agent 3420 FAIRLANE FARMS ROAD, SUITE C, WELLINGTON, FL 33414

President

Name Role Address
GUILLAMA, NOEL J President 3420 FAIRLANE FARMS ROAD, SUITE C, WELLINGTON, FL 33414

Director

Name Role Address
GUILLAMA, NOEL J Director 3420 FAIRLANE FARMS ROAD, SUITE C, WELLINGTON, FL 33414
GUILLAMA, SUSAN D Director 3420 FAIRLANE FARMS ROAD, SUITE C, WELLINGTON, FL 33414
COHEN, DONALD B Director 3420 FAIRLANE FARMS ROAD, SUITE C, WELLINGTON, FL 33414

Vice President

Name Role Address
GUILLAMA, SUSAN D Vice President 3420 FAIRLANE FARMS ROAD, SUITE C, WELLINGTON, FL 33414
COHEN, DONALD B Vice President 3420 FAIRLANE FARMS ROAD, SUITE C, WELLINGTON, FL 33414

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2008-04-09
ANNUAL REPORT 2007-04-16
Domestic Profit 2006-12-11

Date of last update: 02 Jan 2025

Sources: Florida Department of State