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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
WEBBER, DALE S | Agent | 401 E JACKSON ST, STE 2500, TAMPA, FL 33602 |
Name | Role | Address |
---|---|---|
WILFORD, LINDA V | Treasurer | 4725 N FEDERAL HWY, FT LAUDERDALE, FL 33308 |
Name | Role | Address |
---|---|---|
WATTS, HOWARD | Chairman | 4725 N FEDERAL HWY, FT LAUDERDALE, FL 33308 |
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 |
Name | Role | Address |
---|---|---|
WORLEY, ELIZABETH SR | Secretary | 9401 BISCAYNE BLVD, MIAMI SHORES, FL 33138 |
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 |
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