| Entity Name: | DOCTORS GOODWILL FOUNDATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 20 Jan 2004 (21 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 10 Oct 2005 (19 years ago) |
| Document Number: | N04000000815 |
| FEI/EIN Number | 200716768 |
| Address: | 1284 GODAVARI WAY, WESLEY CHAPEL, FL, 33543, US |
| Mail Address: | 1284 GODAVARI WAY, WESLEY CHAPEL, FL, 33543, US |
| ZIP code: | 33543 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124679436 | 2019-09-27 | 2019-09-27 | 3 INDIAN RIVER AVE APT 1001, TITUSVILLE, FL, 327965821, US | 123 S PARK AVE, TITUSVILLE, FL, 327963377, US | |||||||||||||||||
|
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| Phone | +1 321-298-5531 |
| Phone | +1 321-567-4869 |
| Fax | 3215674874 |
Authorized person
| Name | KANTILAL BHALANI |
| Role | DIRECTOR |
| Phone | 3212985531 |
Taxonomy
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Bhalani Kantilal M.D. | Agent | 1284 GODAVARI WAY, WESLEY CHAPEL, FL, 33543 |
| Name | Role | Address |
|---|---|---|
| Bhalani Kantilal M.D.. | President | 1284 Godavari Way, Wesley Chapel, FL, 335434085 |
| Name | Role | Address |
|---|---|---|
| Rajpara Natvarlal M | Director | 910 Winchester Dr., Westminster, MD, 21157 |
| Name | Role | Address |
|---|---|---|
| Shah Naren C | Exec | 659 Loggerhead Island Dr., Satellite Beach, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| Shah Naren CM.D.. | Treasurer | 659 Loggerhead Island Dr., Satellite Beach, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| Tindall Susan G | Secretary | 7016 Holly Ave., Cocoa, FL, 32927 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000071851 | PATIENT ADVOCACY SUPPORT SERVICES | EXPIRED | 2013-07-17 | 2018-12-31 | No data | 7016 HOLLY AVE., COCOA, FL, 32927 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-26 | 1284 GODAVARI WAY, WESLEY CHAPEL, FL 33543 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-26 | 1284 GODAVARI WAY, WESLEY CHAPEL, FL 33543 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-10 | 1284 GODAVARI WAY, WESLEY CHAPEL, FL 33543 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-12 | Bhalani, Kantilal, M.D. | No data |
| CANCEL ADM DISS/REV | 2005-10-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2005-05-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-29 |
| ANNUAL REPORT | 2024-02-02 |
| AMENDED ANNUAL REPORT | 2023-06-21 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-03-19 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-01-03 |
| ANNUAL REPORT | 2019-05-12 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
