Entity Name: | ALL WOMEN'S HEALTH CENTER OF JACKSONVILLE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 06 Mar 1980 (45 years ago) |
Document Number: | 659033 |
FEI/EIN Number | 591986408 |
Mail Address: | 2106 DREW ST, SUITE 103, CLEARWATER, FL, 33765, US |
Address: | 1545 HUFFINGHAM ROAD, JACKSONVILLE, FL, 32216, US |
ZIP code: | 32216 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1790447977 | 2021-10-06 | 2021-10-06 | 2106 DREW STREET, SUITE 103, CLEARWATER, FL, 337653238, US | 1545 HUFFINGHAM ROAD, JACKSONVILLE, FL, 322162721, US | |||||||||||||||||||
|
Phone | +1 727-442-0445 |
Fax | 7274473797 |
Phone | +1 904-731-2755 |
Fax | 9047307376 |
Authorized person
Name | VICKI RAMBO |
Role | INSURANCE BILLING REPRESENTATIVE |
Phone | 7274420445 |
Taxonomy
Taxonomy Code | 207VG0400X - Gynecology Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
OWENS DEZRA | Agent | 2106 DREW ST, CLEARWATER, FL, 33765 |
Name | Role | Address |
---|---|---|
MILLER MELINDA R | Director | 2106 DREW ST #103, CLEARWATER, FL, 33765 |
DRESDEN GARY AMD | Director | 2106 DREW ST #103, CLEARWATER, FL, 33765 |
MYERS SANDRA | Director | 2106 DREW ST #103, CLEARWATER, FL, 33765 |
Name | Role | Address |
---|---|---|
OWENS DEZRA | Secretary | 2106 DREW ST #103, CLEARWATER, FL, 33765 |
Name | Role | Address |
---|---|---|
DRESDEN DARA RMD | Asst | 2106 DREW ST, CLEARWATER, FL, 33765 |
Name | Role | Address |
---|---|---|
MYERS SANDRA | President | 2106 DREW ST #103, CLEARWATER, FL, 33765 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G18000028940 | ABORTION PILL JACKSONVILLE | ACTIVE | 2018-02-28 | 2028-12-31 | No data | 2841 EXECUTIVE DRIVE, SUITE 120, SUITE 120, CLEARWATER, FL, 33762 |
G93103000024 | ALL WOMEN'S HEALTH CENTER OF JACKSONVILLE | ACTIVE | 1993-04-13 | 2028-12-31 | No data | 4331 UNIVERSITY BOULEVARD SOUTH, JACKSONVILLE, FL, 32216, US |
Event Type | Filed Date | Value | Description |
---|---|---|---|
AMENDMENT | 2020-09-14 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State