PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT, INC, FL

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1558122580

2024-01-17

PO BOX 1559, BARTOW, FL, 338311559, US

715 N LAKE AVE, LAKELAND, FL, 338011908, US

Contacts

Fax	8635829251
Phone	+1 863-519-0575

Authorized person

Name	JO DECK
Role	CREDENTIALING SPECIALIST
Phone	8635190575

Taxonomy

Taxonomy Code	284300000X - Special Hospital
Is Primary	Yes

Other Provider Identifiers

Issuer	MEDICAID
Number	103255700
State	FL

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT, INC RETIREMENT SAVINGS PLAN

2010

590818924

2010-04-26

PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT, INC.

0

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2000-03-01
Business code	624100
Sponsor’s telephone number	8635190575
Plan sponsor’s mailing address	1239 E. MAIN STREET, BARTOW, FL, 33830
Plan sponsor’s address	1239 E. MAIN STREET, BARTOW, FL, 33830

Plan administrator’s name and address

Administrator’s EIN	590818924
Plan administrator’s name	PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT, INC.
Plan administrator’s address	1239 E. MAIN STREET, BARTOW, FL, 33830
Administrator’s telephone number	8635190575

Number of participants as of the end of the plan year

Active participants

0

Signature of

Role	Plan administrator
Date	2010-04-26
Name of individual signing	DAVID TOURNADE
Valid signature	Filed with authorized/valid electronic signature

Agent

Name	Role	Address
Williams, Jr., Larry G.	Agent	1239 EAST MAIN STREET, BARTOW, FL 33830

Secretary

Name	Role	Address
BAGGETT, PAUL, MAJOR	Secretary	2278 LONGLEAF CIRCLE, LAKELAND, FL 33809

Chairman

Name	Role	Address
Golotko, Peter C.	Chairman	205 East Orange Street, Third Floor Lakeland, FL 33801

Vice Chairman

Name	Role	Address
Dorsett, Al	Vice Chairman	262 Wood Hall Drive, Mulberry, FL 33860

Director

Name	Role	Address
Dee, Cheryl, Ph.D.	Director	2215 Jonila Avenue, Lakeland, FL 33803
Reed, Stanley B.	Director	Post Office Box 1645, Lakeland, FL 33802
Walsh, Lori	Director	745 Crescent Hills Dr, Lakeland, FL 33813
Floyd, Ian	Director	6233 Riverlake Ln, Bartow, FL 33830
Cannon, Cara, Dr.	Director	1414 Spruce Rd S, Lakeland, FL 33809
Robare, Brian	Director	6512 Emerald Woods Ln, Lakeland, FL 33813
Villarreal, Laura	Director	1950 N Lake Eloise Dr, Winter Haven, FL 33884

2nd Vice Chair

Name	Role	Address
Bodolay, Robert S.	2nd Vice Chair	91 Lake Morton Drive, Lakeland, FL 33801

Treasurer

Name	Role	Address
Baker, Cindy	Treasurer	427 Lake Ned Rd, Winter Haven, FL 33884

Chief Financial Officer

Name	Role	Address
Tournade, David	Chief Financial Officer	PO BOX 1559, BARTOW, FL 33831-1559

Chief Operating Officer

Name	Role	Address
Barnes, Candace	Chief Operating Officer	PO BOX 1559, BARTOW, FL 33831-1559

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G13000005641	PEACE RIVER CENTER WELLNESS CLINIC	ACTIVE	2013-01-16	2028-12-31	No data	POST OFFICE BOX 1559, BARTOW, FL, 33831
G11000079971	PEACE RIVER CENTER	ACTIVE	2011-08-11	2026-12-31	No data	1239 E. MAIN STREET, BARTOW, FL, 33830
G11000037675	PEACE RIVER CENTER	EXPIRED	2011-04-12	2016-12-31	No data	PO BOX 1559, BARTOW, FL, 33831

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2022-05-09	Williams, Jr., Larry G.	No data
REGISTERED AGENT ADDRESS CHANGED	2016-02-24	1239 EAST MAIN STREET, BARTOW, FL 33830	No data
CHANGE OF PRINCIPAL ADDRESS	2005-05-02	1239 EAST MAIN STREET, BARTOW, FL 33830	No data
CHANGE OF MAILING ADDRESS	2005-05-02	1239 EAST MAIN STREET, BARTOW, FL 33830	No data
CORPORATE MERGER	1996-05-28	No data	CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 100000010121
NAME CHANGE AMENDMENT	1979-02-26	PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT, INC.	No data

Court Cases

Title

Case Number

Docket Date

Status

PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT, INC. D/B/A PEACE RIVER CENTER VS RUTH MERHAR AND ROBERT J. MORGENTHAL, M. D.

6D2023-0842

2022-10-13

Closed

Classification	Original Proceedings - Circuit Civil - Certiorari
Court	6th District Court of Appeal
Originating Court	Circuit Court for the Tenth Judicial Circuit, Polk County 2019-CA-004489

Parties

Name	D/B/A PEACE RIVER CENTER
Role	Petitioner
Status	Active

Name	PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT, INC.
Role	Petitioner
Status	Active
Representations	MICHAEL R. D'LUGO, ESQ.

Name	RUTH MERHAR
Role	Respondent
Status	Active
Representations	W. JOHN GADD, ESQ., DEAN BURNETTI, ESQ., RYAN W. ROYCE, ESQ.

Name	ROBERT J. MORGENTHAL, M. D.
Role	Respondent
Status	Active

Name	HON. JAMES A. YANCEY
Role	Judge/Judicial Officer
Status	Active

Name	STACY BUTTERFIELD, CLERK
Role	Lower Tribunal Clerk
Status	Active

Docket Entries

Docket Date	2023-05-18
Type	Misc. Events
Subtype	West Publishing
Description	West Publishing

Docket Date	2023-05-18
Type	Mandate
Subtype	Mandate
Description	Mandate

Docket Date	2023-04-25
Type	Disposition by Order
Subtype	Dismissed
Description	ORDER GRANTING VOLUNTARY DISMISSAL ~ Pursuant to the notice of voluntary dismissal filed herein, this petition is dismissed per Fla R. App. P. 9.350(c).

Docket Date	2023-04-25
Type	Disposition
Subtype	Dismissed
Description	Dismissed - Order by Judge ~ Stargel, Smith, and Mize

Docket Date	2023-04-21
Type	Motions Other
Subtype	Motion/Notice Voluntary Dismissal
Description	Notice of Voluntary Dismissal ~ PETITIONER'S NOTICE OF VOLUNTARY DISMISSAL
On Behalf Of	PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT, INC.

Docket Date	2023-01-03
Type	Letter
Subtype	Acknowledgment Letter
Description	Acknowledgment Letter 1

Docket Date	2022-12-30
Type	Disposition by Order
Subtype	Transferred
Description	Transfer to Sixth DCA

Docket Date	2022-12-08
Type	Response
Subtype	Reply
Description	REPLY ~ REPLY TO RESPONSE TO PETITION FOR WRIT OF CERTIORARI
On Behalf Of	PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT, INC.

Docket Date	2022-11-10
Type	Notice
Subtype	Notice of Appearance
Description	Notice of Appearance
On Behalf Of	RUTH MERHAR

Docket Date	2022-11-08
Type	Response
Subtype	Response
Description	RESPONSE ~ RESPONDENT'S RESPONSE TO DEFENDANT PEACE RIVER CENTERS FOR PERSONAL DEVELOPMENT PETITION FOR WRIT OF CERTIORARI
On Behalf Of	RUTH MERHAR

Docket Date	2022-11-08
Type	Notice
Subtype	Notice of Appearance
Description	Notice of Appearance
On Behalf Of	RUTH MERHAR

Docket Date	2022-10-14
Type	Order
Subtype	Order to Respond to Petition
Description	certiorari response - pretrial ~ Respondents shall serve a response to the petition for writ of certiorari within 30days. Petitioner may serve a reply within 30 days thereafter.The parties shall keep this court apprised of all hearings or trial dates that mayaffect this proceeding.

Docket Date	2022-10-14
Type	Letter
Subtype	Acknowledgment Letter
Description	Acknowledgment Letter 1

Docket Date	2022-10-13
Type	Record
Subtype	Appendix
Description	ORIGINAL APPENDIX OR ATTACHMENT
On Behalf Of	PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT, INC.

Docket Date	2022-10-13
Type	Petition
Subtype	Petition Certiorari
Description	Petition for Certiorari Filed
On Behalf Of	PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT, INC.

Docket Date	2022-10-13
Type	Misc. Events
Subtype	Fee Status
Description	FP:Fee Paid Through Portal

Docket Date	2023-04-20
Type	Order
Subtype	Order
Description	Miscellaneous Order ~ Peace River Center (“Petitioner”) has filed a Petition for Writ of Certiorari (“Petition”). Petitioner is seeking to quash the trial court’s order granting certain discovery requests despite certain privilege objections. This Court does have jurisdiction over this non-final order. In cases regarding writs of certiorari for non-final orders, the Florida Supreme Court has held that writs of certiorari may be granted when “a discovery order departs from the essential requirements of law, causing material injury to a petitioner throughout the remainder of the proceedings below and effectively leaving no adequate remedy on appeal.” Allstate Ins. Co. v. Langston, 655 So. 2d 91, 94 (Fla. 1995). The elements of material injury and remedy can be combined into the concept of “irreparable harm”. See Holmes Reg'l Med. Ctr., Inc. v. Dumigan, 151 So. 3d 1282, 1284 (Fla. 5th DCA 2014). Irreparable harm is jurisdictional and must be considered before this Court turns to the question of whether the challenged order departs from the essential requirements of the law. Id. To find that the “order departs from the essential requirements of law,” this Court must find that “there has been a violation of a clearly established principle of law resulting in a miscarriage of justice.” Combs v. State, 436 So. 2d 93, 96 (Fla. 1983).Irreparable harm may exist here as the lower court’s order potentially requires disclosure of documents that may be privileged or work product. If the privileges exist, the disclosure cannot be undone therefore this question should be addressed prior to the completion of trial. The resolution of this Petition for a Writ of Certiorari hinges on whether the lower court departed from the essential requirements of the law.Here, the trial court conducted an in camera review of the documents in question. The order compelling discovery followed this review. Petitioner has partially contested this order on appeal. To correctly rule on this Petition, this Court must conduct a review of its own. See United States Auto. Ass'n v. Bay Area Inj. Rehab Specialists Holdings, Inc., 311 So. 3d 172, 176 (Fla. 2d DCA 2020). (Holding that a sufficient record is needed to reverse a factual determination of the trial court). In USAA, the Second District Court of Appeal held that it was impossible to grant relief on a petition for certiorari when the lower court record did not contain a copy of the allegedly privileged material reviewed by the trial court. Here, a similar situation has occurred as there is no proof that the allegedly privileged or work product records reviewed in camera by the lower court were filed under seal in the lower court prior to the filing of this petition.Therefore, it is ORDERED AND ADJUDGED that Petitioner is directed, within 15 days of this order, to file under seal any privileged or work product documents that were filed in the lower court under seal prior to the date of filing of this Petition. If no such documents were filed under seal in the lower court prior to the filing of this Petition, then Petitioner shall file a notice advising the court that there are no documents meeting this criteria. To be clear, Petitioner is not to file any documents with this Court that were not already filed under seal in the lower court prior to the filing of this Petition.