Entity Name: | WEST ORANGE WOMEN'S HEALTH SERVICES INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Not For Profit Corporation |
Status: | Inactive |
Date Filed: | 27 Oct 2014 (10 years ago) |
Date of dissolution: | 02 Dec 2016 (8 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 02 Dec 2016 (8 years ago) |
Document Number: | N14000010001 |
FEI/EIN Number | 47-2201361 |
Address: | 213 S. DILLARD ST STE 340, WINTER GARDEN, FL 34787 |
Mail Address: | 213 S. DILLARD ST STE 340, WINTER GARDEN, FL 34787 |
ZIP code: | 34787 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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1629487004 | 2014-08-11 | 2015-04-29 | 213 S DILLARD ST, SUITE 340, WINTER GARDEN, FL, 347873522, US | 213 S DILLARD ST, SUITE 340, WINTER GARDEN, FL, 347873522, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 407-656-6938 |
Fax | 4076569161 |
Authorized person
Name | MS. JENNIFER JOSEPH |
Role | CEO |
Phone | 4076566938 |
Taxonomy
Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
Is Primary | No |
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | No |
Taxonomy Code | 133V00000X - Registered Dietitian |
Is Primary | No |
Taxonomy Code | 163W00000X - Registered Nurse |
License Number | 743652 |
State | FL |
Is Primary | No |
Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
Is Primary | No |
Taxonomy Code | 172V00000X - Community Health Worker |
Is Primary | No |
Taxonomy Code | 174H00000X - Health Educator |
Is Primary | No |
Taxonomy Code | 174N00000X - Lactation Consultant (Non-RN) |
Is Primary | No |
Taxonomy Code | 176B00000X - Midwife |
License Number | MW0053 |
State | FL |
Is Primary | No |
Taxonomy Code | 176B00000X - Midwife |
License Number | TMW8 |
State | FL |
Is Primary | No |
Taxonomy Code | 176B00000X - Midwife |
License Number | MW310 |
State | FL |
Is Primary | No |
Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
License Number | ME96125 |
State | FL |
Is Primary | No |
Taxonomy Code | 367A00000X - Advanced Practice Midwife |
License Number | 1967452 |
State | FL |
Is Primary | No |
Taxonomy Code | 367A00000X - Advanced Practice Midwife |
License Number | 9327743 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 374J00000X - Doula |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 014091700 |
State | FL |
Name | Role | Address |
---|---|---|
JOSEPH, JENNIFER | Agent | 213 S. DILLARD ST STE 340, WINTER GARDEN, FL 34787 |
Name | Role | Address |
---|---|---|
JOSEPH, JENNIFER S | Executive Director | 213 S. DILLARD ST STE 340, WINTER GARDEN, FL 34787 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2016-12-02 | No data | No data |
REINSTATEMENT | 2016-11-22 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2016-11-22 | JOSEPH, JENNIFER | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
AMENDMENT | 2016-08-22 | No data | No data |
Name | Date |
---|---|
REINSTATEMENT | 2016-11-22 |
Amendment | 2016-08-22 |
AMENDED ANNUAL REPORT | 2015-07-09 |
ANNUAL REPORT | 2015-04-09 |
Domestic Non-Profit | 2014-10-27 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State