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YOLAINE MARIE CHAMBLIN,MD ,PA - Florida Company Profile

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Company Details

Entity Name: YOLAINE MARIE CHAMBLIN,MD ,PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 26 Apr 2006 (19 years ago)
Date of dissolution: 27 Sep 2013 (12 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (12 years ago)
Document Number: P06000059457
FEI/EIN Number 204773814
Address: 8910 MIRAMAR PARKWAY, SUITE 117, MIRAMAR, FL, 33025
Mail Address: 14961 E. FALCON'S LEA CIRCLE, DAVIA, FL, 33331
ZIP code: 33025
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CHAMBLIN YOLAINE M Agent 14961 E. FALCON'S LEA CIRCLE, DAVIE, FL, 33331
CHAMBLIN YOLAINE M President 14961 E FALCON'S LEA CIRCLE, DAVIE, FL, 33331

National Provider Identifier

NPI Number:
1568497352

Authorized Person:

Name:
DR. YOLAINE MARIE CHAMBLIN
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3052001552
Fax:
9544426202

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 - -
REVOCATION OF VOLUNTARY DISSOLUT 2012-06-18 - -
VOLUNTARY DISSOLUTION 2012-04-20 - -
REGISTERED AGENT ADDRESS CHANGED 2011-04-29 14961 E. FALCON'S LEA CIRCLE, DAVIE, FL 33331 -
CHANGE OF PRINCIPAL ADDRESS 2011-04-29 8910 MIRAMAR PARKWAY, SUITE 117, MIRAMAR, FL 33025 -
CHANGE OF MAILING ADDRESS 2011-04-29 8910 MIRAMAR PARKWAY, SUITE 117, MIRAMAR, FL 33025 -
CANCEL ADM DISS/REV 2010-04-01 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -
CANCEL ADM DISS/REV 2008-11-24 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J12000269541 TERMINATED 1000000262219 BROWARD 2012-04-02 2022-04-11 $ 2,267.30 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3111 N UNIVERSITY DR STE 501, CORAL SPRINGS FL330655096

Documents

Name Date
Dom/For AR 2012-06-18
Revocation of Dissolution 2012-06-18
VOLUNTARY DISSOLUTION 2012-04-20
ANNUAL REPORT 2011-04-29
CORAPREIWP 2010-04-01
REINSTATEMENT 2008-11-24
ANNUAL REPORT 2007-07-18
Domestic Profit 2006-04-26

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Date of last update: 03 Aug 2025

Sources: Florida Department of State