| Entity Name: | HAVEN MEDICAL CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Oct 2020 (4 years ago) |
| Date of dissolution: | 25 Jul 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Jul 2023 (2 years ago) |
| Document Number: | P20000082198 |
| FEI/EIN Number | 85-3574831 |
| Address: | 12268 TAMIAMI TRAIL, NAPLES, FL, 34113, US |
| Mail Address: | 12268 TAMIAMI TRAIL, NAPLES, FL, 34113, US |
| ZIP code: | 34113 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679173926 | 2020-10-27 | 2023-05-02 | 12268 TAMIAMI TRL E STE 303, NAPLES, FL, 341137946, US | 12268 TAMIAMI TRL E STE 303, NAPLES, FL, 341137946, US | |||||||||||||||||||||||
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| Phone | +1 239-331-3276 |
| Fax | 2393313587 |
Authorized person
| Name | MS. TAMARA SOTO |
| Role | OWNER |
| Phone | 8133818975 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SOTO TAMARA | Agent | 12268 TAMIAMI TRAIL, NAPLES, FL, 34113 |
| Name | Role | Address |
|---|---|---|
| SOTO TAMARA | President | 12268 TAMIAMI TRAIL, NAPLES, FL, 34113 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-07-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-14 | 12268 TAMIAMI TRAIL, SUITE 303, NAPLES, FL 34113 | No data |
| CHANGE OF MAILING ADDRESS | 2022-07-14 | 12268 TAMIAMI TRAIL, SUITE 303, NAPLES, FL 34113 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-07-14 | 12268 TAMIAMI TRAIL, SUITE 303, NAPLES, FL 34113 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-07-25 |
| ANNUAL REPORT | 2023-03-08 |
| AMENDED ANNUAL REPORT | 2022-07-14 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-01-04 |
| Domestic Profit | 2020-10-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
