Entity Name: | THE STARTING PLACE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Active |
Date Filed: | 21 Oct 1969 (55 years ago) |
Document Number: | 717398 |
FEI/EIN Number | 237047895 |
Address: | 300 S. Duval St, #1911, Tallahassee, FL, 32301, US |
Mail Address: | 300 S. Duval St, #1911, Tallahassee, FL, 32301, US |
ZIP code: | 32301 |
County: | Leon |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1417249731 | 2011-05-04 | 2011-05-04 | 351 N STATE ROAD 7, SUITE 200, PLANTATION, FL, 333172859, US | 351 N STATE ROAD 7, SUITE 200, PLANTATION, FL, 333172859, US | |||||||||||||||||||||||||
|
Phone | +1 954-327-4060 |
Fax | 9547929122 |
Authorized person
Name | MR. CARY A SCOPE |
Role | SUPERVISOR |
Phone | 9543274068 |
Taxonomy
Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
License Number | SW9859 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 060045801 |
State | FL |
Name | Role | Address |
---|---|---|
Brooks Christopher | Agent | 1815 Miccosukee Commons Drive, Suite 102, Tallahassee, FL, 32308 |
Name | Role | Address |
---|---|---|
BERRY RAY | Secretary | 10620 GRIFFIN RD. STE 204, COOPER CITY, FL, 33328 |
Name | Role | Address |
---|---|---|
BERRY RAY | Treasurer | 10620 GRIFFIN RD. STE 204, COOPER CITY, FL, 33328 |
Name | Role | Address |
---|---|---|
MCGARRY NEAL A | President | 10620 GRIFFIN ROAD STE 204, COOPER CITY, FL, 33328 |
Name | Role | Address |
---|---|---|
Reiss Adam J | Vice President | 300 S. Duval St, #1911, Tallahassee, FL, 32301 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2023-02-09 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
REINSTATEMENT | 2019-03-05 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
AMENDMENT | 2016-06-15 | No data | No data |
AMENDMENT | 2015-07-27 | No data | No data |
AMENDMENT | 2008-06-26 | No data | No data |
AMENDMENT | 1990-03-07 | No data | No data |
NAME CHANGE AMENDMENT | 1975-03-18 | THE STARTING PLACE, INC. | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State