Entity Name: | ZION BIRTHING MINISTRIES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 10 Apr 1998 (27 years ago) |
Date of dissolution: | 05 Feb 2020 (5 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 05 Feb 2020 (5 years ago) |
Document Number: | P98000033222 |
FEI/EIN Number | 65-0834651 |
Address: | 612 NW 15 Avenue, Boca Raton, FL 33486 |
Mail Address: | 612 NW 15 AVENUE, BOCA RATON, FL 33486 |
ZIP code: | 33486 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1992113617 | 2014-07-25 | 2014-07-25 | 7950 S MILITARY TRL, 201, LAKE WORTH, FL, 334638162, US | 7950 S MILITARY TRL, 201, LAKE WORTH, FL, 334638162, US | |||||||||||||||||||||||||||||
|
Phone | +1 561-330-0993 |
Authorized person
Name | CONNIE MULLEN |
Role | OWNER |
Phone | 5613300993 |
Taxonomy
Taxonomy Code | 176B00000X - Midwife |
License Number | MW45 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 340011500 |
State | FL |
Issuer | BLUE CROSS |
Number | Y7431 |
State | FL |
Name | Role |
---|---|
SANDRA LAMBERT, P.A. | Agent |
Name | Role | Address |
---|---|---|
MULLEN, CONNIE | President | 612 NW 15 AVENUE, BOCA RATON, FL 33486 |
Name | Role | Address |
---|---|---|
MULLEN, CONNIE | Director | 612 NW 15TH AVE., BOCA RATON, FL 33486 |
Name | Role | Address |
---|---|---|
MULLEN, CONNIE | Secretary | 612 NW 15TH AVE., BOCA RATON, FL 33486 |
MULLEN, COURTNEY | Secretary | 612 NW 15 AVENUE, BOCA RATON, FL 33486 |
Name | Role | Address |
---|---|---|
MULLEN, CONNIE | Treasurer | 612 NW 15TH AVE., BOCA RATON, FL 33486 |
Name | Role | Address |
---|---|---|
MULLEN, JAMES | Vice President | 612 NW 15 AVENUE, BOCA RATON, FL 33486 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2020-02-05 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2017-04-26 | 612 NW 15 Avenue, Boca Raton, FL 33486 | No data |
CHANGE OF MAILING ADDRESS | 2007-01-12 | 612 NW 15 Avenue, Boca Raton, FL 33486 | No data |
Name | Date |
---|---|
Voluntary Dissolution | 2020-02-05 |
ANNUAL REPORT | 2019-04-05 |
ANNUAL REPORT | 2018-04-29 |
ANNUAL REPORT | 2017-04-26 |
ANNUAL REPORT | 2016-04-19 |
ANNUAL REPORT | 2015-04-28 |
ANNUAL REPORT | 2014-04-27 |
ANNUAL REPORT | 2013-04-29 |
ANNUAL REPORT | 2012-01-12 |
ANNUAL REPORT | 2011-04-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State