| Entity Name: | DELTA HEALTH MANAGEMENT INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 12 Nov 1996 (28 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P96000092272 |
| FEI/EIN Number | 59-3398671 |
| Address: | 1 DOCTORS LANE, LAKE WALES, FL 33853 |
| Mail Address: | 1 DOCTORS LANE, LAKE WALES, FL 33853 |
| ZIP code: | 33853 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528272135 | 2007-05-10 | 2020-08-22 | 1 DOCTORS LN, LAKE WALES, FL, 338534956, US | 1 DOCTORS LN, LAKE WALES, FL, 338534956, US | |||||||||||||||||||
|
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| Phone | +1 863-676-8536 |
| Fax | 8636761629 |
Authorized person
| Name | DR. MAURICE MAXWELL WEAVER |
| Role | DENTIST |
| Phone | 8636768536 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 5771 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WEAVER, Austa Nicole | Agent | 1 DOCTORS LANE, LAKE WALES, FL 33853 |
| Name | Role | Address |
|---|---|---|
| WEAVER, Austa Nicole | Co | 1 DOCTORS LANE, LAKE WALES, FL 33853 |
| Miller, Creed | Co | 1 DOCTORS LANE, LAKE WALES, FL 33853 |
| Name | Role | Address |
|---|---|---|
| WEAVER, Austa Nicole | Trustee | 1 DOCTORS LANE, LAKE WALES, FL 33853 |
| Miller, Creed | Trustee | 1 DOCTORS LANE, LAKE WALES, FL 33853 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-26 | WEAVER, Austa Nicole | No data |
| PENDING REINSTATEMENT | 2012-08-02 | No data | No data |
| REINSTATEMENT | 2012-08-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2003-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-07-12 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-06-09 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-01-24 |
| REINSTATEMENT | 2012-08-02 |
| ANNUAL REPORT | 2008-04-15 |
| ANNUAL REPORT | 2007-03-19 |
| ANNUAL REPORT | 2006-01-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
