| Entity Name: | MAXX HEALTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Apr 2011 (14 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P11000036732 |
| FEI/EIN Number | 451735655 |
| Address: | 2500 MILITARY TR. #310, BOCA RATON, FL, 33431, US |
| Mail Address: | 2500 MILITARY TR. #310, BOCA RATON, FL, 33431, US |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780971366 | 2011-07-05 | 2012-05-14 | 2500 N MILITARY TRL, SUITE #310, BOCA RATON, FL, 334316344, US | 2500 N MILITARY TRL, SUITE #310, BOCA RATON, FL, 334316344, US | |||||||||||||||||||||||||
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| Phone | +1 561-613-4500 |
| Fax | 5616134501 |
Authorized person
| Name | DR. CARLOS GONZALEZ JR. |
| Role | MEDICAL DIRECTOR |
| Phone | 5616134500 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME87200 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | FW316A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FORM-A-CORP | Agent | 4400 PGA BLVD., PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ ENRIQUE | Director | 2200 NW CORPORATE BLVD., SUITE 100, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ ENRIQUE | President | 2200 NW CORPORATE BLVD., SUITE 100, BOCA RATON, FL, 33431 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000088299 | GL CLINIC | EXPIRED | 2011-09-07 | 2016-12-31 | No data | CRYSTAL CORPORATE CENTER, 2500 N MILITARY TRAIL STE 310, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-06-29 | 2500 MILITARY TR. #310, BOCA RATON, FL 33431 | No data |
| CHANGE OF MAILING ADDRESS | 2011-06-29 | 2500 MILITARY TR. #310, BOCA RATON, FL 33431 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-03-24 |
| ANNUAL REPORT | 2013-03-28 |
| ANNUAL REPORT | 2012-08-30 |
| ADDRESS CHANGE | 2011-06-28 |
| Domestic Profit | 2011-04-14 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
