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MERCY OUTPATIENT SERVICES, INC.

Company Details

Entity Name: MERCY OUTPATIENT SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Inactive
Date Filed: 11 Apr 2003 (22 years ago)
Date of dissolution: 27 Jun 2014 (11 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 27 Jun 2014 (11 years ago)
Document Number: N03000003224
FEI/EIN Number 51-0461511
Address: 4725 NORTH FEDERAL HWY, FT LAUDERDALE, FL 33308
Mail Address: 4725 NORTH FEDERAL HWY, FT LAUDERDALE, FL 33308
ZIP code: 33308
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093750473 2006-06-18 2020-08-22 3663 S MIAMI AVE, 4TH FLOOR, MIAMI, FL, 331334253, US 3663 S MIAMI AVE, 4TH FLOOR, MIAMI, FL, 331334253, US

Contacts

Phone +1 305-285-2939
Fax 3052855042

Authorized person

Name MR. SHEDRICK BOREN
Role ADMINISTRATOR
Phone 3052852939

Taxonomy

Taxonomy Code 282E00000X - Long Term Care Hospital
License Number 4474
State FL
Is Primary Yes

Agent

Name Role Address
WEBBER, DALE S Agent 401 E JACKSON ST, STE 2500, TAMPA, FL 33602

Treasurer

Name Role Address
WILFORD, LINDA V Treasurer 4725 N FEDERAL HWY, FT LAUDERDALE, FL 33308

Chairman

Name Role Address
WATTS, HOWARD Chairman 4725 N FEDERAL HWY, FT LAUDERDALE, FL 33308

Director

Name Role Address
WATTS, HOWARD Director 4725 N FEDERAL HWY, FT LAUDERDALE, FL 33308
WILFORD, LINDA V Director 4725 N FEDERAL HWY, FT LAUDERDALE, FL 33308
FITZGERALD, J P Director 110 MERRICK WAY, SUITE 3B, CORAL GABLES, FL 33131
WORLEY, ELIZABETH SR Director 9401 BISCAYNE BLVD, MIAMI SHORES, FL 33138
MARIN, TOMAS MSGR Director 5400 SW 102 AVE, MIAMI, FL 33165
Stoecker, SSJ, Jane Director 241 St. George Street, St. Augustine, FL 32085

Secretary

Name Role Address
WORLEY, ELIZABETH SR Secretary 9401 BISCAYNE BLVD, MIAMI SHORES, FL 33138

Events

Event Type Filed Date Value Description
MERGER 2014-06-27 No data CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS 705193. MERGER NUMBER 300000141763
CHANGE OF PRINCIPAL ADDRESS 2011-05-19 4725 NORTH FEDERAL HWY, FT LAUDERDALE, FL 33308 No data
REGISTERED AGENT ADDRESS CHANGED 2011-05-19 401 E JACKSON ST, STE 2500, TAMPA, FL 33602 No data
AMENDMENT 2011-05-19 No data No data
CHANGE OF MAILING ADDRESS 2011-05-19 4725 NORTH FEDERAL HWY, FT LAUDERDALE, FL 33308 No data
REGISTERED AGENT NAME CHANGED 2011-05-19 WEBBER, DALE S No data
AMENDED AND RESTATEDARTICLES 2003-11-21 No data No data

Documents

Name Date
ANNUAL REPORT 2014-03-04
ANNUAL REPORT 2013-03-27
ANNUAL REPORT 2012-02-01
Amendment 2011-05-19
ANNUAL REPORT 2011-01-24
ANNUAL REPORT 2010-03-04
ANNUAL REPORT 2009-02-13
ANNUAL REPORT 2008-02-04
ANNUAL REPORT 2007-02-23
ANNUAL REPORT 2006-01-31

Date of last update: 30 Jan 2025

Sources: Florida Department of State