| Entity Name: | WOMANKIND, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 02 Feb 2000 (25 years ago) |
| Document Number: | N00000000776 |
| FEI/EIN Number | 651003208 |
| Address: | 1511 TRUMAN AVENUE, KEY WEST, FL, 33040, US |
| Mail Address: | 1511 TRUMAN AVENUE, KEY WEST, FL, 33040, US |
| ZIP code: | 33040 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558666750 | 2011-01-19 | 2022-01-17 | 1511 TRUMAN AVENUE, KEY WEST, FL, 33040, US | 1511 TRUMAN AVENUE, KEY WEST, FL, 33040, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 305-294-4004 |
| Fax | 3052946043 |
Authorized person
| Name | CAROLYN ROBERTS |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3052944004 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104855900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROBERTS CAROLYN | Agent | 1511 TRUMAN AVENUE, KEY WEST, FL, 33040 |
| Name | Role | Address |
|---|---|---|
| QUIRK COLLEEN | President | 50 Palmetto Drive, KEY WEST, FL, 33040 |
| Name | Role | Address |
|---|---|---|
| MOORCROFT PETER | Treasurer | 29115 Rose Drive, Big Pine, FL, 33043 |
| Name | Role | Address |
|---|---|---|
| ROBERTS CAROLYN | Executive Director | 29911 Journeys End Rd, Big Pine Key, FL, 33040 |
| Name | Role | Address |
|---|---|---|
| O'Neill John | Vice President | 1709 Duncan Avenue, KEY WEST, FL, 33040 |
| Name | Role | Address |
|---|---|---|
| Snow Lurana | Secretary | 299 E. Broward Blvd., Fort Lauderdale, FL, 33301 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2004-11-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| AMENDMENT | 2000-07-03 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
