| Entity Name: | ANA MARQUES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 04 Apr 2017 (8 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P17000030220 |
| FEI/EIN Number | 82-1094409 |
| Address: | 1718 OAK BREEZE AVE., KISSIMMEE, FL 34744 |
| Mail Address: | 1718 OAK BREEZE AVE., KISSIMMEE, FL 34744 |
| ZIP code: | 34744 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1609027911 | 2008-10-06 | 2020-01-15 | 17 18 OAK BREEZE AVE, KISSIMMEE, FL, 34744, US | 17 18 OAK BREEZE AVE, KISSIMMEE, FL, 34744, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-460-3558 |
| Fax | 3217851299 |
Authorized person
| Name | MRS. ANA PAULA MARQUES |
| Role | OWNER |
| Phone | 4074603558 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 104100000X - Social Worker |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LG0600X - Gerontology Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000497400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARQUES, ANA | Agent | 1718 OAK BREEZE AVE., KISSIMMEE, FL 34744 |
| Name | Role | Address |
|---|---|---|
| MARQUES, ANA | President | 1718 OAK BREEZE AVE., KISSIMMEE, FL 34744 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-06 |
| ANNUAL REPORT | 2018-04-07 |
| Domestic Profit | 2017-04-04 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
