| Entity Name: | CIRCLE OF FRIENDS SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 06 Jan 2009 (16 years ago) |
| Date of dissolution: | 24 Jan 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Jan 2020 (5 years ago) |
| Document Number: | N09000000127 |
| FEI/EIN Number | 263987920 |
| Address: | 517 DELTONA BLVD, SUITE A, DELTONA, FL, 32725 |
| Mail Address: | 51 Children's Way, Enterprise, FL, 32725, US |
| ZIP code: | 32725 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467691873 | 2009-02-09 | 2014-07-21 | 517 DELTONA BLVD, SUITE A, DELTONA, FL, 327258016, US | 517 DELTONA BLVD, SUITE A, DELTONA, FL, 327258016, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 386-259-5413 |
| Fax | 3867539265 |
Authorized person
| Name | MS. BARBARA JEAN DEFAZZIO |
| Role | PRESIDENT |
| Phone | 3862595413 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001258900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 001258901 |
| State | FL |
| Issuer | MEDICAID |
| Number | 001258905 |
| State | FL |
| Issuer | MEDICAID |
| Number | 001258904 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| McTyer Kitwana | Agent | 51 Children's Way, Enterprise, FL, 32713 |
| Name | Role | Address |
|---|---|---|
| Tice Linda | Secretary | 51 Children's Way, Enterprise, FL, 32725 |
| Name | Role | Address |
|---|---|---|
| McTyer Kitwana | President | 51 Children's Way, Enterprise, FL, 32725 |
| Name | Role | Address |
|---|---|---|
| Davidson Scott | Chairman | 51 Children's Way, Enterprise, FL, 32725 |
| Name | Role | Address |
|---|---|---|
| Krenzer Doug | Treasurer | 51 Children's Way, Enterprise, FL, 32725 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-01 | 517 DELTONA BLVD, SUITE A, DELTONA, FL 32725 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-01 | McTyer, Kitwana | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-01 | 51 Children's Way, Enterprise, FL 32713 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-18 | 517 DELTONA BLVD, SUITE A, DELTONA, FL 32725 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-24 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-01-31 |
| ANNUAL REPORT | 2012-02-08 |
| ANNUAL REPORT | 2011-02-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
