| Entity Name: | GREENVILLE OUTPATIENT SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 17 Dec 2019 (5 years ago) |
| Date of dissolution: | 15 Mar 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 15 Mar 2021 (4 years ago) |
| Document Number: | N19000013005 |
| FEI/EIN Number | 84-4133737 |
| Address: | 437 JACK RABBIT LOOP, GREENVILLE, FL 32331 |
| Mail Address: | PO BOX 550672, JACKSONVILLE, FL 32255 |
| ZIP code: | 32331 |
| County: | Madison |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215557772 | 2020-04-24 | 2020-04-24 | PO BOX 551213, JACKSONVILLE, FL, 322551213, US | 437 NW JACKRABBIT LOOP, GREENVILLE, FL, 323313233, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 954-536-9539 |
Authorized person
| Name | DAVID HOSKINS |
| Role | CEO |
| Phone | 9545369539 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STEWART, LISA | Agent | 9555 RG Skinner Pkwy, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| WEEMS, CHARLES S | Director | 9555 RG SKINNER PARKWAY, JACKSONVILLE, FL 32256 |
| STEWART, LISA | Director | 9555 R.G. SKINNER PARKWAY, JACKSONVILLE, FL 32256 |
| HOSKINS, DAVID S | Director | 1450 NW HONEY LAKE ROAD, GREENVILLE, FL 32331 |
| NACHTWEY, KIM | Director | 13639 ALLAMANDA CIRCLE, PORT CHARLOTTE, FL 33981 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000034327 | HONEY LAKE OUTPATIENT SERVICES | ACTIVE | 2020-03-20 | 2025-12-31 | No data | PO BOX 550672, JACKSONVILLE, FL, 32255 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-03-15 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-07 | 9555 RG Skinner Pkwy, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-04 | 437 JACK RABBIT LOOP, GREENVILLE, FL 32331 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-03-15 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-03-04 |
| Domestic Non-Profit | 2019-12-17 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
