| Entity Name: | AVIVA HEALTHCARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Jul 2010 (15 years ago) |
| Date of dissolution: | 23 Feb 2018 (7 years ago) |
| Last Event: | PENDING REINSTATEMENT |
| Event Date Filed: | 23 Feb 2018 (7 years ago) |
| Document Number: | P10000057482 |
| FEI/EIN Number | 273074954 |
| Address: | 339 CYPRESS PARKWAY, KISSIMMEE, FL, 34759, US |
| Mail Address: | 339 CYPRESS PARKWAY, KISSIMMEE, FL, 34759, US |
| ZIP code: | 34759 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861828063 | 2013-09-19 | 2014-10-15 | 353 CYPRESS PKWY, KISSIMMEE, FL, 347593326, US | 3414 DUCK AVE, KEY WEST, FL, 330404427, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 813-434-1273 |
| Fax | 8134341533 |
| Phone | +1 305-295-9771 |
| Fax | 3052950059 |
Authorized person
| Name | MR. EDUARDO GARRIDO |
| Role | CEO |
| Phone | 4073430542 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Taxonomy Code | 2085D0003X - Diagnostic Neuroimaging (Radiology) Physician |
| Is Primary | No |
| Taxonomy Code | 2085P0229X - Pediatric Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 2085R0204X - Vascular & Interventional Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| License Number | 4716284079 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 13078 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Garrido Eduardo | Agent | 339 CYPRESS PARKWAY, KISSIMMEE, FL, 34759 |
| Name | Role | Address |
|---|---|---|
| Garrido Eduardo PA | Director | 339 CYPRESS PARKWAY, KISSIMMEE, FL, 34759 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000099302 | EDWARDS HEALTHCARE | EXPIRED | 2014-09-30 | 2019-12-31 | No data | 11011 SHERIDAN STREET, SUITE 202, COOPER CITY, FL, 33026 |
| G11000065690 | AVIVA HEALTH AND WELLNESS CLINIC | EXPIRED | 2011-06-29 | 2016-12-31 | No data | 353 CYPRESS PARKWAY, KISSIMMEE, FL, 34759 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-11-16 | 339 CYPRESS PARKWAY, Suite 110, KISSIMMEE, FL 34759 | No data |
| CHANGE OF MAILING ADDRESS | 2015-11-16 | 339 CYPRESS PARKWAY, Suite 110, KISSIMMEE, FL 34759 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-11-16 | Garrido, Eduardo | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-11-16 | 339 CYPRESS PARKWAY, Suite 110, KISSIMMEE, FL 34759 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15000824645 | TERMINATED | 1000000687043 | OSCEOLA | 2015-07-21 | 2035-08-05 | $ 466.08 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2015-11-16 |
| ANNUAL REPORT | 2015-03-31 |
| AMENDED ANNUAL REPORT | 2014-09-16 |
| ANNUAL REPORT | 2014-03-24 |
| ANNUAL REPORT | 2013-04-08 |
| ANNUAL REPORT | 2012-03-15 |
| ANNUAL REPORT | 2011-03-14 |
| Domestic Profit | 2010-07-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
