Detail by Entity Name
Florida Not For Profit Corporation
FLORIDA MEMORIAL HEALTH NETWORK, INC.
Filing Information
N96000004814
59-3403558
09/17/1996
FL
INACTIVE
VOLUNTARY DISSOLUTION
10/24/2019
NONE
Principal Address
Changed: 03/25/2002
770 W. GRANADA BLVD.
SUITE 317
ORMOND BEACH, FL 32174
SUITE 317
ORMOND BEACH, FL 32174
Changed: 03/25/2002
Mailing Address
Changed: 03/25/2002
770 W. GRANADA BLVD.
SUITE 317
ORMOND BEACH, FL 32174
SUITE 317
ORMOND BEACH, FL 32174
Changed: 03/25/2002
Registered Agent Name & Address
SEAL, DAVID
Name Changed: 12/07/2011
Address Changed: 12/07/2011
770 W. GRANADA BLVD., STE 317
ORMOND BEACH, FL 32174
ORMOND BEACH, FL 32174
Name Changed: 12/07/2011
Address Changed: 12/07/2011
Officer/Director Detail
Name & Address
Title P, Institutional Director
THOMAS, DEBORA H
Title S
HERMANN, DIANE
Title T
PRESSWOOD, JAMES CLAY
Title ED
SEAL, DAVID
Title C, Director
DINKLA, HENDRIK MD
Title VC, Director
BROWN, STEVEN MD
Title Director
Randolph, Andrew, MD
Title Director
Alson, Alfred, MD
Title Director
Torres, Diego, MD
Title Director
Ceballos, Jecebu, MD
Title Director
Cheiken, Mark S, MD
Title Director
Ritter, Andrew, MD
Title Director
Rubin, Mark S, MD
Title Director
Sahai, Steven, MD
Title Director
Weiner, Tracy I, DO
Title Director
Green, Andrew, DPM
Title Director
Williams, Donnette, MD
Title Director
Arocho, James, MD
Title Director
Corbyons, Thomas, MD
Title Director
Jimenez, Ron, MD
Title Institutional Director
Celano, Patricia
Title P, Institutional Director
THOMAS, DEBORA H
701 W. PLYMOUTH AVENUE
DELAND, FL 32720
DELAND, FL 32720
Title S
HERMANN, DIANE
770 W. GRANADA BLVD., STE 317
ORMOND BEACH, FL 32174
ORMOND BEACH, FL 32174
Title T
PRESSWOOD, JAMES CLAY
770 W. GRANADA BLVD., STE 101
ORMOND BEACH, FL 32174
ORMOND BEACH, FL 32174
Title ED
SEAL, DAVID
770 W. GRANADA BLVD.
SUITE 317, FL 32720
SUITE 317, FL 32720
Title C, Director
DINKLA, HENDRIK MD
742 W. PLYMOUTH AVENUE
DELAND, FL 32720
DELAND, FL 32720
Title VC, Director
BROWN, STEVEN MD
21 HOSPITAL DR., SUITE 270
PALM COAST, FL 32164
PALM COAST, FL 32164
Title Director
Randolph, Andrew, MD
1025 N. Stone Street
Suite B
Deland, FL 32720
Suite B
Deland, FL 32720
Title Director
Alson, Alfred, MD
28 Old Kings Road, North
Palm Coast, FL 32137
Palm Coast, FL 32137
Title Director
Torres, Diego, MD
325 Clyde Morris Blvd.
Suite 320
Ormond Beach, FL 32174
Suite 320
Ormond Beach, FL 32174
Title Director
Ceballos, Jecebu, MD
61 Memorial Medical Parkway
Palm Coast, FL 32164
Palm Coast, FL 32164
Title Director
Cheiken, Mark S, MD
8 Office Park Drive
Palm Coast, FL 32137
Palm Coast, FL 32137
Title Director
Ritter, Andrew, MD
301 Memorial Medical Pkwy
Daytona Beach, FL 32117
Daytona Beach, FL 32117
Title Director
Rubin, Mark S, MD
International Eye Assoc., PA
1545 Hand Avenue
Suite B3
Ormond Beach, FL 32174
1545 Hand Avenue
Suite B3
Ormond Beach, FL 32174
Title Director
Sahai, Steven, MD
750 West Granada Blvd.
Ormond Beach, FL 32174
Ormond Beach, FL 32174
Title Director
Weiner, Tracy I, DO
1971 Waterford Estate Drive
New Smyrna Beach, FL 32168
New Smyrna Beach, FL 32168
Title Director
Green, Andrew, DPM
21 Hospital Drive
Suite 150
Palm Coast, FL 32614
Suite 150
Palm Coast, FL 32614
Title Director
Williams, Donnette, MD
21 Hospital Drive
Suite 290
Palm Coast, FL 32164
Suite 290
Palm Coast, FL 32164
Title Director
Arocho, James, MD
301 Memorial Medical Parkway
Daytona Beach, FL 32117
Daytona Beach, FL 32117
Title Director
Corbyons, Thomas, MD
685 Peachwood Drive
Deland, FL 32720
Deland, FL 32720
Title Director
Jimenez, Ron, MD
301 Memorial Medical Parkway
Daytona Beach, FL 32117
Daytona Beach, FL 32117
Title Institutional Director
Celano, Patricia
1055 Saxon Blvd.
Orange City, FL 32763
Orange City, FL 32763
Annual Reports
Report Year | Filed Date |
2017 | 02/14/2017 |
2018 | 02/12/2018 |
2019 | 04/18/2019 |
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