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YOLANDA BACON-GREEN M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: YOLANDA BACON-GREEN M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 30 Dec 1993 (32 years ago)
Date of dissolution: 24 Sep 2010 (15 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2010 (15 years ago)
Document Number: P94000000200
FEI/EIN Number 650080447
Address: 2990 WENTWORTH, WESTON, FL, 33332
Mail Address: 2990 WENTWORTH, WESTON, FL, 33332
ZIP code: 33332
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BACON-GREEN YOLANDA President 2990 WENTWORTH, WESTON, FL, 33332
BACON-GREEN YOLANDA Director 2990 WENTWORTH, WESTON, FL, 33332
GREEN LEONARDO Secretary 2990 WENTWORTH, WESTON, FL, 33332
GREEN LEONARDO Agent 2990 WENTWORTH, WESTON, FL, 33332

National Provider Identifier

NPI Number:
1750422317

Authorized Person:

Name:
DR. YOLANDA BACON-GREEN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9544502438

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -
CHANGE OF PRINCIPAL ADDRESS 2008-05-02 2990 WENTWORTH, WESTON, FL 33332 -
CHANGE OF MAILING ADDRESS 2008-05-02 2990 WENTWORTH, WESTON, FL 33332 -
REGISTERED AGENT ADDRESS CHANGED 2008-05-02 2990 WENTWORTH, WESTON, FL 33332 -

Documents

Name Date
ANNUAL REPORT 2009-04-16
ANNUAL REPORT 2008-05-02
ANNUAL REPORT 2007-04-26
ANNUAL REPORT 2006-04-17
ANNUAL REPORT 2005-04-13
ANNUAL REPORT 2004-05-31
ANNUAL REPORT 2003-04-16
ANNUAL REPORT 2002-04-11
ANNUAL REPORT 2001-04-30
ANNUAL REPORT 2000-05-05

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Date of last update: 01 Aug 2025

Sources: Florida Department of State