| Entity Name: | COVENTRY HEALTH CARE WORKERS COMPENSATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 25 Apr 2007 (18 years ago) |
| Document Number: | F07000002276 |
| FEI/EIN Number | 20-8376354 |
| Address: | 9771 Clairemont Mesa Blvd., STE A, San Diego, CA, 92124, US |
| Mail Address: | 9771 Clairemont Mesa Blvd., STE A, San Diego, CA, 92124, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891086807 | 2011-04-25 | 2011-04-25 | PO BOX 660776, DALLAS, TX, 752660776, US | 5130 EISENHOWER BLVD, TAMPA, FL, 336346346, US | |||||||||||||
|
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| Phone | +1 813-806-2116 |
Authorized person
| Name | MRS. LISA HALLEY |
| Role | IMPLEMENTATION MANAGER |
| Phone | 8138062116 |
Taxonomy
| Taxonomy Code | 163WC0400X - Case Management Registered Nurse |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Sun Alex | President | 9771 Clairemont Mesa Blvd., San Diego, CA, 92124 |
| Name | Role | Address |
|---|---|---|
| Sun Alex | Sole | 9771 Clairemont Mesa Blvd., San Diego, CA, 92124 |
| Name | Role | Address |
|---|---|---|
| Kroon Stephanie | Secretary | 9771 Clairemont Mesa Blvd., San Diego, CA, 92124 |
| Name | Role | Address |
|---|---|---|
| Brown Norman | Treasurer | 9771 Clairemont Mesa Blvd., San Diego, CA, 92124 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-28 | 9771 Clairemont Mesa Blvd., STE A, San Diego, CA 92124 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-28 | 9771 Clairemont Mesa Blvd., STE A, San Diego, CA 92124 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-02-27 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-27 | C/O C T CORPORATION SYSTEM, 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-05-13 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-05-24 |
| ANNUAL REPORT | 2019-03-22 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-04-08 |
| ANNUAL REPORT | 2015-04-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
