| Entity Name: | BROWARD HOMEBOUND PROGRAM, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 09 Apr 1986 (39 years ago) |
| Document Number: | N14278 |
| FEI/EIN Number | 592668389 |
| Address: | C/O NORTH BROWARD MEDICAL CENTER, 201 E. SAMPLE RD., DEERFIELD BEACH, FL, 33064 |
| Mail Address: | C/O NORTH BROWARD MEDICAL CENTER, 201 E. SAMPLE RD., DEERFIELD BEACH, FL, 33064 |
| ZIP code: | 33064 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811082217 | 2006-10-03 | 2007-08-27 | 201 E.SAMPLE ROAD, C/O NORTH BROWARD MEDICAL CENTER, DEERFIELD BEACH, FL, 33064, US | 3810 INVERRARY BLVD, SUITE 305, LAUDERHILL, FL, 333194356, US | |||||||||||||||||||
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| Phone | +1 954-786-2484 |
| Fax | 9547862407 |
| Phone | +1 954-741-5373 |
| Fax | 9546773038 |
Authorized person
| Name | MRS. DIANE SMITH |
| Role | EXECUTIVE DIRECTOR |
| Phone | 9547862484 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROSS SHARON F | Agent | C/O NORTH BROWARD MEDICAL CTR, DEERFIELD BEACH, FL, 33064 |
| Name | Role | Address |
|---|---|---|
| MALCOLM GAVIN | Director | 201 EAST SAMPLE ROAD, DEERFIELD BEACH, FL, 33064 |
| GERONEMUS DIANN | Director | 833 NW 81 WAY, PLANTATION, FL, 33324 |
| DELUCA VINCENT | Director | 3323 W. COMMERCIAL BLVD, SUITE 114, FT. LAUDERDALE, FL, 33309 |
| SILVER GAIL | Director | 6075 N.W. 41 DRIVE, CORAL SPRINGS, FL, 33067 |
| COHEN MARION | Director | LYNDHURST H 1012, DEERFIELD BEACH, FL, 33442 |
| GORDON JASON | Director | 200 E. LAS OLAS BLVD., FT. LAUDERDALE, FL, 33301 |
| Name | Role | Address |
|---|---|---|
| MALCOLM GAVIN | Vice President | 201 EAST SAMPLE ROAD, DEERFIELD BEACH, FL, 33064 |
| Name | Role | Address |
|---|---|---|
| GERONEMUS DIANN | Secretary | 833 NW 81 WAY, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| DELUCA VINCENT | President | 3323 W. COMMERCIAL BLVD, SUITE 114, FT. LAUDERDALE, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| GORDON JASON | Treasurer | 200 E. LAS OLAS BLVD., FT. LAUDERDALE, FL, 33301 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2012-03-07 | No data | No data |
| NAME CHANGE AMENDMENT | 1990-04-02 | BROWARD HOMEBOUND PROGRAM, INC. | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
