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  5. CENTRAL FLORIDA HEALTH CARE, INC.

CENTRAL FLORIDA HEALTH CARE, INC.

Company Details

Entity Name: CENTRAL FLORIDA HEALTH CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 05 Jul 1973 (52 years ago)
Last Event: AMENDMENT
Event Date Filed: 03 Oct 2016 (8 years ago)
Document Number: 726870
FEI/EIN Number 59-1404594
Address: 47 5th Street NW, Winter Haven, FL 33881
Mail Address: 47 5th Street, NW, Winter Haven, FL 33881
ZIP code: 33881
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881453215 2024-03-18 2024-03-18 47 5TH ST NW, WINTER HAVEN, FL, 338814672, US 1190 E CHURCH ST, BARTOW, FL, 338304117, US

Contacts
Phone +1 866-234-8534
Fax 8632915128

Authorized person
Name ANN CLAUSSEN
Role CEO
Phone 8632915110

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300VVQUGX0L2BOL43 726870 US-FL GENERAL ACTIVE No data

Addresses
Legal c/o Baker, Cindy, 47 5th Street, NW, Winter Haven, US-FL, US, 33881
Headquarters 47 5th Street, NW, Winter Haven, US-FL, US, 33881

Registration details
Registration Date 2017-02-08
Last Update 2022-03-16
Status LAPSED
Next Renewal 2019-10-30
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 726870

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRAL FLORIDA HEALTH CARE PENSION PLAN 2023 591404594 2024-03-04 CENTRAL FLORIDA HEALTH CARE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 813000
Sponsor’s telephone number 8634523066
Plan sponsor’s address 47 5TH STREET N.W., WINTER HAVEN, FL, 33881
CENTRAL FLORIDA HEALTH CARE PENSION PLAN 2022 591404594 2023-06-16 CENTRAL FLORIDA HEALTH CARE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 813000
Sponsor’s telephone number 8634523066
Plan sponsor’s address 47 5TH STREET N.W., WINTER HAVEN, FL, 33881
CENTRAL FLORIDA HEALTH CARE PENSION PLAN 2021 591404594 2022-09-26 CENTRAL FLORIDA HEALTH CARE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 813000
Sponsor’s telephone number 8634523066
Plan sponsor’s address 47 5TH STREET N.W., WINTER HAVEN, FL, 33881
CENTRAL FLORIDA HEALTH CARE PENSION PLAN 2020 591404594 2021-11-15 CENTRAL FLORIDA HEALTH CARE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 813000
Sponsor’s telephone number 8634523066
Plan sponsor’s address 47 5TH STREET N.W., WINTER HAVEN, FL, 33881
CENTRAL FLORIDA HEALTH CARE PENSION PLAN 2020 591404594 2021-11-15 CENTRAL FLORIDA HEALTH CARE, INC. 1
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 813000
Sponsor’s telephone number 8634523066
Plan sponsor’s address 47 5TH STREET N.W., WINTER HAVEN, FL, 33881
CENTRAL FLORIDA HEALTH CARE PENSION PLAN 2019 591404594 2020-10-15 CENTRAL FLORIDA HEALTH CARE, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 813000
Sponsor’s telephone number 8634523066
Plan sponsor’s address 47 5TH STREET N.W., WINTER HAVEN, FL, 33881
CENTRAL FLORIDA HEALTH CARE PENSION PLAN 2018 591404594 2019-10-15 CENTRAL FLORIDA HEALTH CARE, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 813000
Sponsor’s telephone number 8634523066
Plan sponsor’s address 47 5TH STREET N.W., WINTER HAVEN, FL, 33881
CENTRAL FLORIDA HEALTH CARE PENSION PLAN 2017 591404594 2018-10-09 CENTRAL FLORIDA HEALTH CARE, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 813000
Sponsor’s telephone number 8634523066
Plan sponsor’s address 47 5TH STREET N.W., WINTER HAVEN, FL, 33881
CENTRAL FLORIDA HEALTH CARE PENSION PLAN 2016 591404594 2018-01-31 CENTRAL FLORIDA HEALTH CARE, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 813000
Sponsor’s telephone number 8634523066
Plan sponsor’s address 47 5TH STREET N.W., WINTER HAVEN, FL, 33881
CENTRAL FLORIDA HEALTH CARE PENSION PLAN 2015 591404594 2016-09-21 CENTRAL FLORIDA HEALTH CARE, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 813000
Sponsor’s telephone number 8634523066
Plan sponsor’s address 47 5TH STREET N.W., WINTER HAVEN, FL, 33881

Signature of
Role Plan administrator
Date 2016-09-21
Name of individual signing BERNARD FULSE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Claussen, Ann CEO Agent 47 5TH STREET,NW, WINTER HAVEN, FL 33881

Treasurer

Name Role Address
Emanuel, Nick, Treasurer Treasurer 47 5TH STREET, WINTER HAVEN, FL 33881

Chief Executive Officer

Name Role Address
Claussen, Ann Chief Executive Officer 47 5th Street, NW, Winter Haven, FL 33881

Chief Human Resource Director

Name Role Address
Kenney, Philip Chief Human Resource Director 47 5th Street, NW, Winter Haven, FL 33881

Chief Clinical Officer

Name Role Address
Nelson-James, Cara Dr. Chief Clinical Officer 47 5th Street, NW, Winter Haven, FL 33881

Chief Quality Officer

Name Role Address
Turner, Barbara Chief Quality Officer 47 5th Street, NW, Winter Haven, FL 33881

Risk Manager

Name Role Address
Turner, Barbara Risk Manager 47 5th Street, NW, Winter Haven, FL 33881

Chief Operations Officer

Name Role Address
Best, Lawrence Chief Operations Officer 47 5th Street, NW, Winter Haven, FL 33881

Assistant Chief Clinical Officer

Name Role Address
Hein, Andrew Assistant Chief Clinical Officer 47 5th Street, NW, Winter Haven, FL 33881

Chairman

Name Role Address
Brinson, Kemp, Chairman Chairman 47 5TH STREET, NW, WINTER HAVEN, FL 33881

Chief Financial Officer

Name Role Address
Baugh, Tina Chief Financial Officer 47 5th Street NW, Winter Haven, FL 33881

Secretary

Name Role Address
James, Nasseam Secretary 47 5th Street NW, Winter Haven, FL 33881

Chief Dental Officer

Name Role Address
McKenzie, Karen, Dr. Chief Dental Officer 47 5th Street NW, Winter Haven, FL 33881

Cheif Developement Officer

Name Role Address
King, Vincent Cheif Developement Officer 47 5th Street, NW, Winter Haven, FL 33881

Cheif Pharmacy Officer

Name Role Address
Pickos, Ronald M Cheif Pharmacy Officer 47 5th Street, NW, Winter Haven, FL 33881

Vice Chairman

Name Role Address
Luxford, Beth Vice Chairman 47 5th Street, NW, Winter Haven, FL 33881

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000068917 CENTRAL FLORIDA HEALTH CARE SPECIALTY PHARMACY ACTIVE 2019-06-18 2029-12-31 No data 1514 FIRST STREET NORTH, WINTER HAVEN, FL, 33881

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-01-24 Claussen, Ann CEO No data
CHANGE OF PRINCIPAL ADDRESS 2017-01-23 47 5th Street NW, Winter Haven, FL 33881 No data
AMENDMENT 2016-10-03 No data No data
REGISTERED AGENT ADDRESS CHANGED 2016-10-03 47 5TH STREET,NW, WINTER HAVEN, FL 33881 No data
CHANGE OF MAILING ADDRESS 2016-05-11 47 5th Street NW, Winter Haven, FL 33881 No data
AMENDMENT 2005-06-20 No data No data
NAME CHANGE AMENDMENT 1993-06-18 CENTRAL FLORIDA HEALTH CARE, INC. No data

Documents

Name Date
ANNUAL REPORT 2024-01-24
ANNUAL REPORT 2023-01-17
ANNUAL REPORT 2022-01-11
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-02-11
AMENDED ANNUAL REPORT 2019-06-28
ANNUAL REPORT 2019-01-24
ANNUAL REPORT 2018-03-08
AMENDED ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2017-01-23

Related by officers

Claussen, Ann

THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC.

Luxford, Beth

GIRLS INCORPORATED OF WINTER HAVEN

Related by address

No related companies by address

Date of last update: 06 Feb 2025

Sources: Florida Department of State

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