| Entity Name: | FLORIDA MEMORIAL HEALTH NETWORK, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 17 Sep 1996 (28 years ago) |
| Date of dissolution: | 24 Oct 2019 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Oct 2019 (5 years ago) |
| Document Number: | N96000004814 |
| FEI/EIN Number | 59-3403558 |
| Address: | 770 W. GRANADA BLVD., SUITE 317, ORMOND BEACH, FL 32174 |
| Mail Address: | 770 W. GRANADA BLVD., SUITE 317, ORMOND BEACH, FL 32174 |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| SEAL, DAVID | Agent | 770 W. GRANADA BLVD., STE 317, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| THOMAS, DEBORA H | President | 701 W. PLYMOUTH AVENUE, DELAND, FL 32720 |
| Name | Role | Address |
|---|---|---|
| THOMAS, DEBORA H | Institutional Director | 701 W. PLYMOUTH AVENUE, DELAND, FL 32720 |
| Celano, Patricia | Institutional Director | 1055 Saxon Blvd., Orange City, FL 32763 |
| Name | Role | Address |
|---|---|---|
| HERMANN, DIANE | Secretary | 770 W. GRANADA BLVD., STE 317, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| PRESSWOOD, JAMES CLAY | Treasurer | 770 W. GRANADA BLVD., STE 101, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| SEAL, DAVID | Executive Director | 770 W. GRANADA BLVD., SUITE 317, FL 32720 |
| Name | Role | Address |
|---|---|---|
| DINKLA, HENDRIK MD | Chairman | 742 W. PLYMOUTH AVENUE, DELAND, FL 32720 |
| Name | Role | Address |
|---|---|---|
| DINKLA, HENDRIK MD | Director | 742 W. PLYMOUTH AVENUE, DELAND, FL 32720 |
| BROWN, STEVEN MD | Director | 21 HOSPITAL DR., SUITE 270, PALM COAST, FL 32164 |
| Randolph, Andrew, MD | Director | 1025 N. Stone Street, Suite B Deland, FL 32720 |
| Alson, Alfred, MD | Director | 28 Old Kings Road, North, Palm Coast, FL 32137 |
| Torres, Diego, MD | Director | 325 Clyde Morris Blvd., Suite 320 Ormond Beach, FL 32174 |
| Ceballos, Jecebu, MD | Director | 61 Memorial Medical Parkway, Palm Coast, FL 32164 |
| Cheiken, Mark S, MD | Director | 8 Office Park Drive, Palm Coast, FL 32137 |
| Ritter, Andrew, MD | Director | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 |
| Rubin, Mark S, MD | Director | International Eye Assoc., PA, 1545 Hand Avenue Suite B3 Ormond Beach, FL 32174 |
| Sahai, Steven, MD | Director | 750 West Granada Blvd., Ormond Beach, FL 32174 |
| Name | Role | Address |
|---|---|---|
| BROWN, STEVEN MD | Vice Chairman | 21 HOSPITAL DR., SUITE 270, PALM COAST, FL 32164 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-10-24 | No data | No data |
| RESTATED ARTICLES | 2011-12-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-12-07 | SEAL, DAVID | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-12-07 | 770 W. GRANADA BLVD., STE 317, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2002-03-25 | 770 W. GRANADA BLVD., SUITE 317, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF MAILING ADDRESS | 2002-03-25 | 770 W. GRANADA BLVD., SUITE 317, ORMOND BEACH, FL 32174 | No data |
| REINSTATEMENT | 2000-10-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-10-24 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-02-16 |
| ANNUAL REPORT | 2015-01-29 |
| ANNUAL REPORT | 2014-02-07 |
| AMENDED ANNUAL REPORT | 2013-04-24 |
| ANNUAL REPORT | 2013-02-11 |
| ANNUAL REPORT | 2012-03-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
