Entity Name: | GLOBAL MEDICAL AND BEHAVIORAL HEALTH CORPORATION |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 06 Nov 2015 (9 years ago) |
Date of dissolution: | 22 Sep 2023 (a year ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 22 Sep 2023 (a year ago) |
Document Number: | P15000091363 |
FEI/EIN Number | 47-5517852 |
Address: | 4960 ATWOOD DRIVE, ORLANDO, FL, 32828, US |
Mail Address: | 4960 ATWOOD DRIVE, ORLANDO, FL, 32828, US |
ZIP code: | 32828 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1285008318 | 2015-12-01 | 2015-12-01 | 1183 SUWANEE RD, DAYTONA BEACH, FL, 321145916, US | 1183 SUWANEE RD, DAYTONA BEACH, FL, 321145916, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 813-997-2397 |
Authorized person
Name | DR. JEFFERY HAYNES |
Role | PRESIDENT/CEO |
Phone | 8139972397 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
License Number | 0001221676 |
State | VA |
Is Primary | No |
Taxonomy Code | 251E00000X - Home Health Agency |
License Number | RN9365072 |
State | FL |
Is Primary | No |
Taxonomy Code | 251J00000X - Nursing Care Agency |
License Number | RN9365072 |
State | FL |
Is Primary | No |
Taxonomy Code | 251J00000X - Nursing Care Agency |
License Number | 0001221676 |
State | VA |
Is Primary | No |
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
License Number | MH8653 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
License Number | 0701006086 |
State | VA |
Is Primary | No |
Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
License Number | MH8653 |
State | FL |
Is Primary | No |
Name | Role | Address |
---|---|---|
HAYNES JEFFERY | Agent | 4960 ATWOOD DRIVE, ORLANDO, FL, 32828 |
Name | Role | Address |
---|---|---|
HAYNES JEFFERY | President | 4960 Atwood Drive, Orlando, FL, 32828 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2021-02-14 | 4960 ATWOOD DRIVE, ORLANDO, FL 32828 | No data |
CHANGE OF MAILING ADDRESS | 2021-02-14 | 4960 ATWOOD DRIVE, ORLANDO, FL 32828 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2021-02-14 | 4960 ATWOOD DRIVE, ORLANDO, FL 32828 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2022-02-02 |
ANNUAL REPORT | 2021-02-14 |
ANNUAL REPORT | 2020-06-10 |
ANNUAL REPORT | 2019-04-02 |
ANNUAL REPORT | 2018-01-21 |
ANNUAL REPORT | 2017-04-21 |
ANNUAL REPORT | 2016-04-25 |
Domestic Profit | 2015-11-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State