| Entity Name: | AVEC MOI MENTAL HEALTH, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 02 Apr 2021 (4 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P21000032579 |
| FEI/EIN Number | 86-3214058 |
| Mail Address: | 8501 GRINSTEAD CT, ORLANDO, FL, 32825 |
| Address: | 8501 GRINSTEAD Ct, Orlando, FL, 32825, US |
| ZIP code: | 32825 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104408228 | 2021-04-27 | 2021-04-28 | 8501 GRINSTEAD CT, ORLANDO, FL, 328258433, US | 2202 CURRY FORD RD STE E, ORLANDO, FL, 328062478, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 407-913-9945 |
Authorized person
| Name | EZEQUIELA NILDA COLUMBIE |
| Role | ADMINISTRATOR |
| Phone | 4079139945 |
Taxonomy
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | 8000-1225052 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COLUMBIE EZEQUIELA NILD | Agent | 8501 GRINSTEAD CT, ORLANDO, FL, 32825 |
| Name | Role | Address |
|---|---|---|
| COLUMBIE EZEQUIELA NILDSRA | President | 8501 GRINSTEAD CT, ORLANDO, FL, 32825 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-28 | 8501 GRINSTEAD Ct, Orlando, FL 32825 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-28 |
| Domestic Profit | 2021-04-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
