| Entity Name: | MIZELL PALLIATIVE CARE CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 30 Aug 2011 (13 years ago) |
| Date of dissolution: | 20 Apr 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Apr 2015 (10 years ago) |
| Document Number: | N11000008237 |
| FEI/EIN Number | 45-3161457 |
| Address: | 4801 S. UNVERSITY DRIVE, DAVIE, FL, 33328 |
| Mail Address: | 4801 S. UNVERSITY DRIVE, DAVIE, FL, 33328 |
| ZIP code: | 33328 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679818090 | 2012-12-11 | 2012-12-11 | 4801 S UNIVERSITY DR, #249, DAVIE, FL, 333283839, US | 4801 S UNIVERSITY DR, #249, DAVIE, FL, 333283839, US | |||||||||||||||
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| Phone | +1 954-680-4352 |
| Fax | 9546429438 |
Authorized person
| Name | GUY C JEANTY |
| Role | EXECUTIVE DIRECTOR |
| Phone | 9548951960 |
Taxonomy
| Taxonomy Code | 251X00000X - Supports Brokerage Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JEANTY GUY C | Agent | 55 SIMONTON CIRCLE, WESTON, FL, 33326 |
| Name | Role | Address |
|---|---|---|
| TAYLOR JR. JOHNNY CEsq. | Treasurer | 1881 North Nash St, # 901, Arlington, VA, 22209 |
| Name | Role | Address |
|---|---|---|
| RUFFIN JR. JOHN W | President | 12151 NW 57th ST, CORAL SPRINGS, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| HAMLET ANTHONY DDr. | Secretary | 1127 FLORIDA AVENUE, WEST PALM BEACH, FL, 33401 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000080827 | MIZELL HEALTH & RESOURCE CENTER | EXPIRED | 2013-08-14 | 2018-12-31 | No data | 4801 S. UNIVERSITY DRIVE, SUITE 249, DAVIE, FL, 33328 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-04-20 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-04-20 |
| ANNUAL REPORT | 2014-01-20 |
| ANNUAL REPORT | 2013-03-24 |
| ANNUAL REPORT | 2012-05-31 |
| Domestic Non-Profit | 2011-08-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
