| Entity Name: | SACRED BIRTH MIDWIFERY SERVICE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Jul 2015 (10 years ago) |
| Document Number: | P15000064281 |
| FEI/EIN Number | 47-4688874 |
| Address: | 230 Benmore Drive, Winter Park, FL, 32792, US |
| Mail Address: | 422 Red Coat Lane, Orlando, FL, 32825, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770919573 | 2013-09-25 | 2024-08-06 | 422 RED COAT LN, ORLANDO, FL, 328253333, US | 230 BENMORE DR, WINTER PARK, FL, 327924101, US | |||||||||||||||||||||||||||
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| Phone | +1 407-766-2857 |
| Phone | +1 407-469-5050 |
| Fax | 4079422044 |
Authorized person
| Name | MICHELLE ISLA |
| Role | OWNER/MIDWIFE |
| Phone | 4077662857 |
Taxonomy
| Taxonomy Code | 176B00000X - Midwife |
| License Number | MW277 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009762300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ISLA MICHELLE C | Agent | 422 Red Coat Lane, Orlando, FL, 32825 |
| Name | Role | Address |
|---|---|---|
| ISLA MICHELLE C | Director | 422 Red Coat Lane, Orlando, FL, 32825 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-16 | 230 Benmore Drive, Winter Park, FL 32792 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-09 | 230 Benmore Drive, Winter Park, FL 32792 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-09 | 422 Red Coat Lane, Orlando, FL 32825 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-16 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-04-03 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-04-15 |
| Domestic Profit | 2015-07-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
