Entity Name: | VISITING NURSE ASSOCIATION OF FLORIDA, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Active |
Date Filed: | 20 Jun 1978 (47 years ago) |
Document Number: | 743335 |
FEI/EIN Number | 591814769 |
Address: | 2400 S.E. MONTEREY RD., STE. 300, STUART, FL, 34996, US |
Mail Address: | 2400 S.E. MONTEREY RD., STE. 300, STUART, FL, 34996, US |
ZIP code: | 34996 |
County: | Martin |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1619998440 | 2006-07-21 | 2020-08-22 | 2400 SE MONTEREY RD, SUITE 300, STUART, FL, 349963351, US | 2400 SE MONTEREY RD, SUITE 300, STUART, FL, 349963351, US | |||||||||||||||||||||||||
|
Phone | +1 772-286-1844 |
Fax | 7722887329 |
Authorized person
Name | MR. DONALD R CROW |
Role | PRESIDENT/CEO |
Phone | 7722861844 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
Is Primary | No |
Taxonomy Code | 251F00000X - Home Infusion Agency |
Is Primary | No |
Other Provider Identifiers
Issuer | BCBS OF FLORIDA |
Number | J40 |
State | FL |
Name | Role | Address |
---|---|---|
CROW, JENNIFER | Agent | 2400 S.E. MONTEREY RD., STE. 300, STUART, FL, 34996 |
Name | Role | Address |
---|---|---|
CORCIA JOHN T | Director | 706 VOYAGER LANE, NORTH PALM BEACH, FL, 33410 |
HUDSON, III DENNIS | Director | P.O. BOX 9012, STUART, FL, 34995 |
EARLE DAVID Esq. | Director | 789 S FEDERAL HIGHWAY, STUART, FL, 34994 |
Name | Role | Address |
---|---|---|
DAYTON PETER M | Treasurer | 1815 S. KANNER HWY, STUART, FL, 34994 |
Name | Role | Address |
---|---|---|
CROW DONALD R | Exec | 2400 S.E. MONTEREY RD., STE. 300, STUART, FL, 34996 |
Name | Role | Address |
---|---|---|
CROW PATRICIA T | Vice President | 2400 SE MONTEREY ROAD SUITE 300, STUART, FL, 34996 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
NAME CHANGE AMENDMENT | 1998-03-05 | VISITING NURSE ASSOCIATION OF FLORIDA, INC. | No data |
AMENDED AND RESTATEDARTICLES | 1989-01-23 | No data | No data |
AMENDED AND RESTATEDARTICLES | 1988-08-16 | No data | No data |
NAME CHANGE AMENDMENT | 1987-10-12 | VISITING NURSE ASSOCIATION OF MARTIN/ST. LUCIE COUNTY, INC. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State