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THE BENJAMIN OUTREACH MEDICAL NETWORK CORPORATION - Florida Company Profile

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Company Details

Entity Name: THE BENJAMIN OUTREACH MEDICAL NETWORK CORPORATION
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Mar 2010 (15 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 23 Oct 2015 (10 years ago)
Document Number: P10000025520
FEI/EIN Number 272248235
Address: 3939 Hollywood Blvd, hollywood, FL, 33022, US
Mail Address: 3939 Hollywood Blvd, Hollywood, FL, 33021, US
ZIP code: 33022
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BENJAMIN VAUNRANCE President 1204 W 11th St, Panama City, FL, 32401
BENJAMIN VAUNRANCE Agent 3939 Hollywood Blvd, hollywood, FL, 33021

National Provider Identifier

NPI Number:
1518248418
Certification Date:
2025-07-04

Authorized Person:

Name:
ILNISE MATHIEU
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
103TF0000X - Family Psychologist
Is Primary:
No
Selected Taxonomy:
103TP2701X - Group Psychotherapy Psychologist
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
261QC1500X - Community Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No

Contacts:

Fax:
9542397987
Fax:
7542120473

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000052241 THE BENJAMIN WELLNESS CENTER OF HOLLYWOOD EXPIRED 2011-06-03 2016-12-31 - 210 SOUTH FEDERAL HIGHWAY, SUITE 300, HOLLYWOOD, FL, 33020
G11000052247 THE VADA BENJAMIN WELLNESS CENTER EXPIRED 2011-06-03 2016-12-31 - 12550 BISCAYNE, SUITE 800, MIAMI, FL, 33181

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-03-10 3939 Hollywood Blvd, Suite 1B, hollywood, FL 33022 -
CHANGE OF MAILING ADDRESS 2022-03-10 3939 Hollywood Blvd, Suite 1B, hollywood, FL 33022 -
REGISTERED AGENT ADDRESS CHANGED 2022-03-10 3939 Hollywood Blvd, Suite 1B, hollywood, FL 33021 -
REINSTATEMENT 2015-10-23 - -
REGISTERED AGENT NAME CHANGED 2015-10-23 BENJAMIN, VAUNRANCE -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-06-07
ANNUAL REPORT 2019-03-29
ANNUAL REPORT 2018-02-07
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-04-12
REINSTATEMENT 2015-10-23

USAspending Awards / Financial Assistance

Date:
2020-07-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
86000.00
Total Face Value Of Loan:
86000.00

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Date of last update: 01 Aug 2025

Sources: Florida Department of State