| Entity Name: | MEDIVAN HEALTH AND COMMUNITY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 02 Sep 1982 (43 years ago) |
| Date of dissolution: | 25 Sep 2009 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (16 years ago) |
| Document Number: | 764812 |
| FEI/EIN Number |
592236796
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5101 NW 21ST AVENUE, #510, FT. LAUDERDALE, FL, 33309, US |
| Mail Address: | 5101 NW 21ST AVENUE, #510, FT. LAUDERDALE, FL, 33309, US |
| 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 |
|---|---|---|
| ACEVEDO JEAN | Treasurer | 711 GOLF COURT, DELRAY BEACH, FL, 33445 |
| ACEVEDO JEAN | Director | 711 GOLF COURT, DELRAY BEACH, FL, 33445 |
| JAMES-FRANCES MAXINE | President | 200 N.W. 7TH AVENUE, FORT LAUDERDALE, FL, 33311 |
| 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 | Secretary | 5804 MULBERRY DRIVE, TAMARAC, FL, 33319 |
| KUBLIN MICHAEL | Director | 5804 MULBERRY DRIVE, TAMARAC, FL, 33319 |
| KUBLIN MICHAEL | Vice President | 5804 MULBERRY DRIVE, TAMARAC, FL, 33319 |
| PETERSON CYNTHIA | Director | 5101 NW 21ST AVE., #440, FORT LAUDERDALE, FL, 33309 |
| CARRE PAMELA | Agent | 5101 NW 21ST AVE, #510, FORT LAUDERDALE, FL, 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| REGISTERED AGENT NAME CHANGED | 2007-02-23 | CARRE, PAMELA | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-05-23 | 5101 NW 21ST AVE, #510, FORT LAUDERDALE, FL 33309 | - |
| NAME CHANGE AMENDMENT | 2003-10-15 | MEDIVAN HEALTH AND COMMUNITY SERVICES, INC. | - |
| CHANGE OF PRINCIPAL ADDRESS | 1995-04-26 | 5101 NW 21ST AVENUE, #510, FT. LAUDERDALE, FL 33309 | - |
| CHANGE OF MAILING ADDRESS | 1995-04-26 | 5101 NW 21ST AVENUE, #510, FT. LAUDERDALE, FL 33309 | - |
| AMENDMENT | 1987-01-30 | - | - |
| 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: 01 Apr 2025
Sources: Florida Department of State
