Entity Name: | THE BIRTH CENTER OF GAINESVILLE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 25 May 1983 (42 years ago) |
Date of dissolution: | 01 Oct 2004 (20 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 01 Oct 2004 (20 years ago) |
Document Number: | G40919 |
FEI/EIN Number | 59-2300001 |
Address: | 218 N.W. 2ND AVE., GAINESVILLE, FL 32601 |
Mail Address: | 218 N.W. 2ND AVE., GAINESVILLE, FL 32601 |
ZIP code: | 32601 |
County: | Alachua |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1972663490 | 2006-12-12 | 2008-04-30 | 810 E UNIVERSITY AVE, GAINESVILLE, FL, 32601, US | 810 E UNIVERSITY AVE, GAINESVILLE, FL, 32601, US | |||||||||||||||||||||||||
|
Phone | +1 352-372-4784 |
Fax | 3523724788 |
Authorized person
Name | MARYANN SMITH |
Role | CLINICAL DIRECTOR |
Phone | 3523724784 |
Taxonomy
Taxonomy Code | 261QB0400X - Birthing Clinic/Center |
License Number | 280 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 690029100 |
State | FL |
Name | Role |
---|---|
SHANNON SMITH,INC. | Agent |
Name | Role | Address |
---|---|---|
SMITH, MARY ANN | Director | 304 NE 9TH ST, GAINESVILLE, FL |
Name | Role | Address |
---|---|---|
SMITH, MARY ANN | President | 304 NE 9TH ST, GAINESVILLE, FL |
Name | Role | Address |
---|---|---|
SMITH, MARY ANN | Vice President | 304 NE 9TH ST, GAINESVILLE, FL |
Name | Role | Address |
---|---|---|
SMITH, MARY ANN | Secretary | 304 NE 9TH ST, GAINESVILLE, FL |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
REGISTERED AGENT NAME CHANGED | 1997-04-30 | SHANNON, SMITH | No data |
REGISTERED AGENT ADDRESS CHANGED | 1997-04-30 | 218 NW 2ND AVE, GAINESVILLE, FL 32601 | No data |
CHANGE OF PRINCIPAL ADDRESS | 1986-07-14 | 218 N.W. 2ND AVE., GAINESVILLE, FL 32601 | No data |
CHANGE OF MAILING ADDRESS | 1986-07-14 | 218 N.W. 2ND AVE., GAINESVILLE, FL 32601 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2003-05-01 |
ANNUAL REPORT | 2002-05-06 |
ANNUAL REPORT | 2001-05-03 |
ANNUAL REPORT | 2000-05-02 |
ANNUAL REPORT | 1999-04-29 |
ANNUAL REPORT | 1998-04-28 |
ANNUAL REPORT | 1997-04-30 |
ANNUAL REPORT | 1996-04-18 |
ANNUAL REPORT | 1995-04-19 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State