Entity Name: | MAGNUS MEDICAL CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 20 Mar 2006 (19 years ago) |
Date of dissolution: | 31 May 2019 (6 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 31 May 2019 (6 years ago) |
Document Number: | P06000040154 |
FEI/EIN Number | 760822231 |
Address: | 2105 S PARK AVE, SANFORD, FL, 32771, US |
Mail Address: | 2105 S PARK AVE, SANFORD, FL, 32771, US |
ZIP code: | 32771 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1770598252 | 2006-07-30 | 2008-06-06 | 2105 S PARK AVE, SANFORD, FL, 327714349, US | 2105 S PARK AVE, SANFORD, FL, 327714349, US | |||||||||||||||||||||||||
|
Phone | +1 407-330-9082 |
Fax | 4075743541 |
Authorized person
Name | DR. MEUREEN O DANIEL |
Role | SOLO PRACTITIONER |
Phone | 3216623591 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
License Number | 0625558 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 268055600 |
State | FL |
Name | Role | Address |
---|---|---|
BELHOMME JEAN | Agent | 18061 STRATFORD GRAND ST., ORLANDO, FL, 32820 |
Name | Role | Address |
---|---|---|
DANIEL MEUREEN M | Director | 18061 STRATFORD GRAND ST., ORLANDO, FL, 32820 |
BELHOMME JEAN | Director | 18061 STRATFORD GRAND ST, ORLANDO, FL, 32820 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2019-05-31 | No data | No data |
REINSTATEMENT | 2011-10-05 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
NAME CHANGE AMENDMENT | 2007-12-03 | MAGNUS MEDICAL CENTER, INC. | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2019-05-31 |
ANNUAL REPORT | 2019-02-13 |
ANNUAL REPORT | 2018-01-16 |
ANNUAL REPORT | 2017-01-09 |
ANNUAL REPORT | 2016-01-18 |
ANNUAL REPORT | 2015-02-09 |
ANNUAL REPORT | 2014-01-13 |
ANNUAL REPORT | 2013-01-21 |
ANNUAL REPORT | 2012-01-06 |
REINSTATEMENT | 2011-10-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State