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ATHENA HEALTH CARE CENTER INC

Company Details

Entity Name: ATHENA HEALTH CARE CENTER INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Jan 2015 (10 years ago)
Date of dissolution: 19 Jan 2021 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 19 Jan 2021 (4 years ago)
Document Number: P15000005652
FEI/EIN Number 47-2897417
Address: 5714 VINTAGE VIEW BLD, LAKELAND, FL, 33812, US
Mail Address: 5714 VINTAGE VIEW BLD, LAKELAND, FL, 33812, US
ZIP code: 33812
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083004287 2015-01-27 2015-09-03 5714 VINTAGE VIEW BLVD, LAKELAND, FL, 338125067, US 4240 LAKELAND HIGHLANDS RD, LAKELAND, FL, 338133113, US

Contacts

Phone +1 863-646-8699

Authorized person

Name AMAURY GUERRA GUTIERREZ
Role PRESIDENT
Phone 3057425026

Taxonomy

Taxonomy Code 207QG0300X - Geriatric Medicine (Family Medicine) Physician
License Number ME115832
State FL
Is Primary Yes

Agent

Name Role Address
GUERRA GUTIERREZ AMAURY Agent 5714 VINTAGE VIEW BLVD, LAKELAND, FL, 33812

President

Name Role Address
GUERRA GUTIERREZ AMAURY President 5714 VINTAGE VIEW BLVD, LAKELAND, FL, 33812

Vice President

Name Role Address
DELGADO CASTANEDA MAGGIE Vice President 5714 VINTAGE VIEW BLVD, LAKELAND, FL, 33812

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2021-01-19 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2021-01-19
ANNUAL REPORT 2020-03-26
ANNUAL REPORT 2019-03-25
ANNUAL REPORT 2018-02-12
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-03-14
Domestic Profit 2015-01-16

Date of last update: 01 Feb 2025

Sources: Florida Department of State