Entity Name: | FULL CIRCLE FLORIDA, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Active |
Date Filed: | 04 Apr 2014 (11 years ago) |
Document Number: | N14000003391 |
FEI/EIN Number | NOT APPLICABLE |
Address: | 1070 Montgomery Rd, Unit #279, Altamonte Springs, FL, 32714, US |
Mail Address: | 1070 Montgomery Rd, Unit #279, Altamonte Springs, FL, 32714, US |
ZIP code: | 32714 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1386154474 | 2017-10-03 | 2019-01-14 | 6396 ROYAL TERN ST, ORLANDO, FL, 328106012, US | 6396 ROYAL TERN ST, ORLANDO, FL, 328106012, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 407-801-9628 |
Authorized person
Name | LESLI ODUM |
Role | CLINICAL DIRECTOR |
Phone | 4078019628 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
License Number | 15156 |
State | FL |
Is Primary | No |
Taxonomy Code | 101YM0800X - Mental Health Counselor |
State | FL |
Is Primary | Yes |
Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
State | FL |
Is Primary | No |
Taxonomy Code | 172V00000X - Community Health Worker |
State | FL |
Is Primary | No |
Taxonomy Code | 251B00000X - Case Management Agency |
State | FL |
Is Primary | No |
Taxonomy Code | 405300000X - Prevention Professional |
State | FL |
Is Primary | No |
Name | Role | Address |
---|---|---|
Odum Lesli | Agent | 1070 Montgomery Rd, Unit #279, Altamonte Springs, FL, 32714 |
Name | Role | Address |
---|---|---|
Odum LESLI | President | 1070 Montgomery Rd, Unit #279, Altamonte Springs, FL, 32714 |
Name | Role | Address |
---|---|---|
Odum LESLI | Chief Executive Officer | 1070 Montgomery Rd, Unit #279, Altamonte Springs, FL, 32714 |
Name | Role | Address |
---|---|---|
Weaver Timothy | Vice Chairman | 11736 Newberry Grove Loop, Riverview, FL, 33579 |
Name | Role | Address |
---|---|---|
WALKER SANDRA G | Secretary | 3403 N 51ST STREET, TAMPA, FL, 33619 |
Name | Role | Address |
---|---|---|
McGhee Ray | Chief Financial Officer | 5914 Johnson Street, Hollywood, FL, 33021 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2021-04-29 | 1070 Montgomery Rd, Unit #279, Altamonte Springs, FL 32714 | No data |
CHANGE OF MAILING ADDRESS | 2021-04-29 | 1070 Montgomery Rd, Unit #279, Altamonte Springs, FL 32714 | No data |
REGISTERED AGENT NAME CHANGED | 2021-04-29 | Odum, Lesli | No data |
REGISTERED AGENT ADDRESS CHANGED | 2021-04-29 | 1070 Montgomery Rd, Unit #279, Altamonte Springs, FL 32714 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-28 |
ANNUAL REPORT | 2023-03-13 |
ANNUAL REPORT | 2022-04-30 |
ANNUAL REPORT | 2021-04-29 |
ANNUAL REPORT | 2020-06-30 |
ANNUAL REPORT | 2019-05-30 |
ANNUAL REPORT | 2018-04-30 |
ANNUAL REPORT | 2017-04-30 |
ANNUAL REPORT | 2016-04-30 |
ANNUAL REPORT | 2015-03-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State