| Entity Name: | GERIATRIC HEALTHCARE CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Feb 2008 (17 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P08000014651 |
| FEI/EIN Number | 261922747 |
| Address: | 206 S. OCCIDENT STREET, TAMPA, FL, 33609 |
| Mail Address: | 206 S. OCCIDENT STREET, TAMPA, FL, 33609 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316110190 | 2008-04-11 | 2009-02-03 | 6331 MEMORIAL HWY, TAMPA, FL, 336154537, US | 6331 MEMORIAL HWY, TAMPA, FL, 336154537, US | |||||||||||||||||||||||||
|
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| Phone | +1 813-884-3678 |
| Fax | 8138843690 |
Authorized person
| Name | DR. CARLOS ALBERTO SALAZAR |
| Role | PRESIDENT |
| Phone | 8137517557 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME91793 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | ME91793 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WATKINS CARL T | Agent | 5103 MEMORIAL HWY, TAMPA, FL, 33634 |
| Name | Role | Address |
|---|---|---|
| SALAZAR CARLOS A | President | 206 S. OCCIDENT STREET, TAMPA, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-22 |
| Domestic Profit | 2008-02-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
