| Entity Name: | AVANTI FAMILY HEALTH CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Sep 2020 (4 years ago) |
| Document Number: | P20000077096 |
| FEI/EIN Number | 853326582 |
| Address: | 11279 Longshore Way W, NAPLES, FL, 34119, US |
| Mail Address: | 11279 Longshore Way W, NAPLES, FL, 34119, US |
| ZIP code: | 34119 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972215275 | 2022-12-19 | 2022-12-22 | 1145 IVY WAY, NAPLES, FL, 341175216, US | 1145 IVY WAY, NAPLES, FL, 341175216, US | |||||||||||||
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| Phone | +1 239-776-8553 |
Authorized person
| Name | AGNABEL JIMENEZ |
| Role | VICE PRESIDENT |
| Phone | 2397768553 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JIMENEZ AGNABEL | Agent | 11279 Longshore Way W, NAPLES, FL, 34119 |
| Name | Role | Address |
|---|---|---|
| JIMENEZ AGNABEL | Vice President | 11279 Longshore Way W, NAPLES, FL, 34119 |
| Name | Role | Address |
|---|---|---|
| Jimenez Rodriguez Manuel E | President | 11279 Longshore Way W, NAPLES, FL, 34119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-12 | 11279 Longshore Way W, NAPLES, FL 34119 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-12 | 11279 Longshore Way W, NAPLES, FL 34119 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-12 | 11279 Longshore Way W, NAPLES, FL 34119 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-12 |
| ANNUAL REPORT | 2021-01-06 |
| Domestic Profit | 2020-09-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
