| Entity Name: | MEDIVAN HEALTH AND COMMUNITY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 02 Sep 1982 (42 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | 764812 |
| FEI/EIN Number | 59-2236796 |
| Address: | 5101 NW 21ST AVENUE, #510, FT. LAUDERDALE, FL 33309 |
| Mail Address: | 5101 NW 21ST AVENUE, #510, FT. LAUDERDALE, FL 33309 |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730285883 | 2006-09-16 | 2020-08-22 | 5101 NW 21ST AVE, SUITE 510, FORT LAUDERDALE, FL, 333092792, US | 5101 NW 21ST AVE, SUITE 510, FORT LAUDERDALE, FL, 333092792, US | |||||||||||||||
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| Phone | +1 954-735-9019 |
| Fax | 9547339315 |
Authorized person
| Name | MS. SHARON ROSS |
| Role | EXECUTIVE DIRECTOR |
| Phone | 9547359019 |
Taxonomy
| Taxonomy Code | 251V00000X - Voluntary or Charitable Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARRE, PAMELA | Agent | 5101 NW 21ST AVE, #510, FORT LAUDERDALE, FL 33309 |
| Name | Role | Address |
|---|---|---|
| ACEVEDO, JEAN | Treasurer | 711 GOLF COURT, DELRAY BEACH, FL 33445 |
| Name | Role | Address |
|---|---|---|
| ACEVEDO, JEAN | Director | 711 GOLF COURT, DELRAY BEACH, FL 33445 |
| JAMES-FRANCES, MAXINE | Director | 200 N.W. 7TH AVENUE, FORT LAUDERDALE, FL 33311 |
| SHAPIRO, BEVERLY | Director | 7383 ORANGEWOOD LANE, #301, BOCA RATON, FL 33433 |
| KUBLIN, MICHAEL | Director | 5804 MULBERRY DRIVE, TAMARAC, FL 33319 |
| PETERSON, CYNTHIA | Director | 5101 NW 21ST AVE., #440, FORT LAUDERDALE, FL 33309 |
| Name | Role | Address |
|---|---|---|
| JAMES-FRANCES, MAXINE | President | 200 N.W. 7TH AVENUE, FORT LAUDERDALE, FL 33311 |
| Name | Role | Address |
|---|---|---|
| KUBLIN, MICHAEL | Secretary | 5804 MULBERRY DRIVE, TAMARAC, FL 33319 |
| Name | Role | Address |
|---|---|---|
| KUBLIN, MICHAEL | Vice President | 5804 MULBERRY DRIVE, TAMARAC, FL 33319 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-02-23 | CARRE, PAMELA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-05-23 | 5101 NW 21ST AVE, #510, FORT LAUDERDALE, FL 33309 | No data |
| NAME CHANGE AMENDMENT | 2003-10-15 | MEDIVAN HEALTH AND COMMUNITY SERVICES, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1995-04-26 | 5101 NW 21ST AVENUE, #510, FT. LAUDERDALE, FL 33309 | No data |
| CHANGE OF MAILING ADDRESS | 1995-04-26 | 5101 NW 21ST AVENUE, #510, FT. LAUDERDALE, FL 33309 | No data |
| AMENDMENT | 1987-01-30 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-01-24 |
| ANNUAL REPORT | 2007-11-02 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2007-02-23 |
| ANNUAL REPORT | 2006-05-19 |
| ANNUAL REPORT | 2006-01-17 |
| ANNUAL REPORT | 2005-05-23 |
| ANNUAL REPORT | 2004-01-20 |
| Name Change | 2003-10-15 |
| ANNUAL REPORT | 2003-05-14 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
