Entity Name: | EMERGENCY MEDICAL FOUNDATION, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Inactive |
Date Filed: | 13 Jul 1981 (44 years ago) |
Document Number: | 759143 |
FEI/EIN Number | 592110001 |
Address: | 112 CARSWELL AVE., HOLLY HILL, FL, 32117, US |
Mail Address: | 123 W. INDIANA AVENUE, DELAND, FL, 32720, US |
ZIP code: | 32117 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1235292129 | 2006-12-19 | 2008-04-16 | 112 CARSWELL AVE, HOLLY HILL, FL, 321175010, US | 112 CARSWELL AVE, HOLLY HILL, FL, 321175010, US | |||||||||||||||||||
|
Phone | +1 386-252-4900 |
Fax | 3862524986 |
Authorized person
Name | MR. MICHAEL J MELLON |
Role | EXECUTIVE DIRECTOR |
Phone | 3862524900 |
Taxonomy
Taxonomy Code | 3416L0300X - Land Ambulance |
License Number | 2959 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ECKERT DANIEL D | Agent | COUNTY OF VOLUSIA, DELAND, FL, 32720 |
Name | Role | Address |
---|---|---|
BRUNO FRANK T | President | 123 W. INDIANA AVENUE, DELAND, FL, 32720 |
Name | Role | Address |
---|---|---|
DINNEEN JAMES T | Vice President | 123 W. INDIANA AVENUE, DELAND, FL, 32720 |
Name | Role | Address |
---|---|---|
JOHNSON BEN | Secretary | 123 W. INDIANA AVENUE, DELAND, FL, 32720 |
Name | Role | Address |
---|---|---|
JOHNSON BEN | Treasurer | 123 W. INDIANA AVENUE, DELAND, FL, 32720 |
Name | Role | Address |
---|---|---|
CRAIG CHARLES | Director | 123 W. INDIANA AVENUE, DELAND, FL, 32720 |
SPRINGER PETER D | Director | 123 W. INDIANA AVENUE, DELAND, FL, 32720 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOL DISSOLUTION OF INACTIVE CORP | 2016-10-25 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
AMENDMENT | 2011-05-19 | No data | No data |
AMENDMENT | 1998-02-09 | No data | No data |
AMENDMENT | 1997-06-26 | No data | No data |
AMENDMENT | 1993-06-24 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State