| Entity Name: | BIRTHING CENTER OF SOUTH FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Nov 2000 (24 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P00000107974 |
| FEI/EIN Number | 651058110 |
| Address: | 646 WEST PALM DR., SUITE 300, FLORIDA CITY, FL, 33034, US |
| Mail Address: | 646 WEST PALM DR., SUITE 300, FLORIDA CITY, FL, 33034, US |
| ZIP code: | 33034 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972604130 | 2006-09-26 | 2020-08-22 | 646 W PALM DR, STE 300, FLORIDA CITY, FL, 330343208, US | 646 W PALM DR, STE 300, FLORIDA CITY, FL, 330343208, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-245-3750 |
| Fax | 3052453755 |
Authorized person
| Name | JONI ELAINE MCCANN |
| Role | PRESIDENT |
| Phone | 3052453750 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | 315 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | WELLCARE |
| Number | 170351 |
| State | FL |
| Issuer | PMP MEDICAID |
| Number | M058111 |
| State | FL |
| Issuer | VISTA HEALTH PLAN |
| Number | SG067395 |
| State | FL |
| Issuer | AMERIGROUP |
| Number | FG47 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCCANN JONI | Agent | 17351 SW 303 ST., HOMESTEAD, FL, 33030 |
| Name | Role | Address |
|---|---|---|
| MCCANN JONI | President | 17351 SW 303 ST, HOMESTEAD, FL, 33030 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-02-09 | 646 WEST PALM DR., SUITE 300, FLORIDA CITY, FL 33034 | No data |
| CHANGE OF MAILING ADDRESS | 2012-02-09 | 646 WEST PALM DR., SUITE 300, FLORIDA CITY, FL 33034 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-05-03 | 17351 SW 303 ST., HOMESTEAD, FL 33030 | No data |
| REGISTERED AGENT NAME CHANGED | 2004-05-03 | MCCANN, JONI | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-03-31 |
| ANNUAL REPORT | 2014-04-15 |
| ANNUAL REPORT | 2013-04-15 |
| ANNUAL REPORT | 2012-02-09 |
| ANNUAL REPORT | 2011-01-10 |
| ANNUAL REPORT | 2010-05-19 |
| ANNUAL REPORT | 2009-04-24 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-05-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
