| Entity Name: | JEAN Y. MONICE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Feb 1997 (28 years ago) |
| Date of dissolution: | 06 May 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 06 May 2019 (6 years ago) |
| Document Number: | P97000017634 |
| FEI/EIN Number | 650736634 |
| Address: | 1825 FOREST HILL BLVD, SUITE 101, WEST PALM BEACH, FL, 33406 |
| Mail Address: | 1825 FOREST HILL BLVD, SUITE 101, WEST PALM BEACH, FL, 33406 |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1558445841 | 2006-10-24 | 2020-08-22 | 1825 FOREST HILL BLVD, SUITE 101, WEST PALM BEACH, FL, 334068902, US | 1825 FOREST HILL BLVD, SUITE 101, WEST PALM BEACH, FL, 334068902, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-433-0206 |
| Fax | 5614331640 |
Authorized person
| Name | DR. JEAN YVENET MONICE |
| Role | M.D. |
| Phone | 5614330206 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME0069088 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STAYWELL |
| Number | 14623 |
| State | FL |
| Issuer | AVMED |
| Number | 225094 |
| State | FL |
| Issuer | BLUE CROSS/BLUE SHIELD FL |
| Number | 31494 |
| State | FL |
| Issuer | HEALTHEASE |
| Number | 14623 |
| State | FL |
| Issuer | WELLCARE |
| Number | 14623 |
| State | FL |
| Issuer | AMERIGROUP OF FL |
| Number | 90652 |
| State | FL |
| Issuer | GHI OF NY |
| Number | 2509496 |
| State | NY |
| Issuer | NEIGHBORHOOD HEALTH |
| Number | 32535 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MONICE JEAN Y | Agent | 1825 FOREST HILL BLVD. #101, WEST PALM BEACH, FL, 33406 |
| Name | Role | Address |
|---|---|---|
| MONICE JEAN Y | Director | 2254 Shoma Drive, Royal Palm Beach, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-05-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 1999-03-04 | MONICE, JEAN Y | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1999-03-04 | 1825 FOREST HILL BLVD. #101, WEST PALM BEACH, FL 33406 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2019-05-06 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-02-25 |
| ANNUAL REPORT | 2014-01-22 |
| ANNUAL REPORT | 2013-04-17 |
| ANNUAL REPORT | 2012-04-10 |
| ANNUAL REPORT | 2011-03-17 |
| ANNUAL REPORT | 2010-02-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
