| Entity Name: | ANTAEUS HEALTH SERVICES CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 30 Jan 1997 (28 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P97000009304 |
| FEI/EIN Number | 650727518 |
| Address: | 7333 CORAL WAY, SUITE 109, MIAMI, FL, 33155, US |
| Mail Address: | 7333 CORAL WAY, SUITE 109, MIAMI, FL, 33155, US |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093869273 | 2007-01-23 | 2012-03-21 | 7333 CORAL WAY, SUITE 109, MIAMI, FL, 331551402, US | 7333 CORAL WAY, SUITE 109, MIAMI, FL, 331551402, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 305-500-9697 |
| Fax | 3055009994 |
Authorized person
| Name | MR. MARCOS RETA |
| Role | ADMINISTRATOR & OWNER |
| Phone | 3055009697 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | HHA299991821 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | HOME HEALTH AGENCY |
| Number | HHA299991821 |
| State | FL |
| Issuer | MEDICAID PROVIDER NUMBER |
| Number | 651030200 |
| State | FL |
| Issuer | PROVIDER NUMBER |
| Number | 10-8058 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| martinez ibrahim | Agent | 7333 CORAL WAY suite 109, MIAMI, FL, 331553210 |
| Name | Role | Address |
|---|---|---|
| martinez ibrahim | Director | 7333 CORAL WAY SUITE 109, MIAMI, FL, 33155 |
| MARTINEZ IBRAHIM | Director | 7333 CORAL WAY SUITE 109, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| martinez ibrahim | President | 7333 CORAL WAY SUITE 109, MIAMI, FL, 33155 |
| MARTINEZ IBRAHIM | President | 7333 CORAL WAY SUITE 109, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| martinez ibrahim | Secretary | 7333 CORAL WAY SUITE 109, MIAMI, FL, 33155 |
| MARTINEZ IBRAHIM | Secretary | 7333 CORAL WAY SUITE 109, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| AMENDMENT | 2013-11-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-10-01 | martinez, ibrahim | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-10-01 | 7333 CORAL WAY suite 109, MIAMI, FL 33155-3210 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-25 | 7333 CORAL WAY, SUITE 109, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-25 | 7333 CORAL WAY, SUITE 109, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| Amendment | 2013-11-27 |
| AMENDED ANNUAL REPORT | 2013-10-01 |
| ANNUAL REPORT | 2013-04-25 |
| ANNUAL REPORT | 2012-04-25 |
| ANNUAL REPORT | 2011-04-28 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-04-17 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-19 |
| ANNUAL REPORT | 2006-05-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
