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HOME AT HEART MEDICAL GROUP, INC.

Company Details

Entity Name: HOME AT HEART MEDICAL GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 23 Mar 2020 (5 years ago)
Date of dissolution: 04 May 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 04 May 2023 (2 years ago)
Document Number: P20000025498
FEI/EIN Number 85-0520658
Address: 1195 POTOMAC DRIVE, MERRITT ISLAND, FL, 32952
Mail Address: 1195 POTOMAC DRIVE, MERRITT ISLAND, FL, 32952, US
ZIP code: 32952
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689203879 2020-04-08 2020-04-14 1195 POTOMAC DR, MERRITT ISLAND, FL, 329527220, US 1195 POTOMAC DR, MERRITT ISLAND, FL, 329527220, US

Contacts

Phone +1 321-258-2426

Authorized person

Name MS. VICKI SMITH
Role OWNER
Phone 3212582426

Taxonomy

Taxonomy Code 363LP2300X - Primary Care Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
SMITH VICKI R Agent 1195 POTOMAC DRIVE, MERRITT ISLAND, FL, 32952

President

Name Role Address
SMITH VICKI R President 1195 POTOMAC DRIVE, MERRITT ISLAND, FL, 32952

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-05-04 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-05-04
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-04-27
Domestic Profit 2020-03-23

Date of last update: 02 Feb 2025

Sources: Florida Department of State