| Entity Name: | INTRACARE HEALTH SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Feb 2020 (5 years ago) |
| Document Number: | F20000000846 |
| FEI/EIN Number | 84-4402470 |
| Address: | 160 SW 12 AVE STE 101-D, DEERFIELD BEACH, FL 33442 |
| Mail Address: | 160 SW 12 AVE STE 101-D, DEERFIELD BEACH, FL 33442 |
| ZIP code: | 33442 |
| County: | Broward |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407468580 | 2020-08-19 | 2022-06-13 | 160 SW 12TH AVE STE 101D, DEERFIELD BEACH, FL, 334423114, US | 160 SW 12TH AVE STE 101D, DEERFIELD BEACH, FL, 334423114, US | |||||||||||||||||||||||||
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| Phone | +1 888-327-2233 |
| Fax | 8884394453 |
Authorized person
| Name | MILES GILMAN |
| Role | DIRECTOR |
| Phone | 8883272233 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| Is Primary | No |
Other Provider Identifiers
| Issuer | FLORIDA BOARD OF PHARMACY |
| Number | PS19129 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND RD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| GILMAN, MILES | Director | 160 SW 12 AVE STE 101-D, DEERFIELD BEACH, FL 33442 |
| Name | Role | Address |
|---|---|---|
| GILMAN, MILES | President | 160 SW 12 AVE STE 101-D, DEERFIELD BEACH, FL 33442 |
| Name | Role | Address |
|---|---|---|
| GILMAN, MILES | Secretary | 160 SW 12 AVE STE 101-D, DEERFIELD BEACH, FL 33442 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000106017 | PHARMACON, INC. | ACTIVE | 2020-08-18 | 2025-12-31 | No data | 160 SW 12 AVENUE, 101D, DEERFIELD BEACH, FL, 33442 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-03-29 |
| Foreign Profit | 2020-02-03 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
