Entity Name: | COMPREHENSIVE MEDICAL CARE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 06 Jun 1984 (41 years ago) |
Document Number: | H06757 |
FEI/EIN Number | 000000000 |
Address: | ADMINISTRATIVE OFFICES, 7177 W BROWARD BLVD, PLANTATION, FL, 33317 |
Mail Address: | ADMINISTRATIVE OFFICES, 7177 W BROWARD BLVD, PLANTATION, FL, 33317 |
ZIP code: | 33317 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1952440117 | 2007-02-05 | 2009-10-08 | 5453 GULF DR, SUITE 3, NEW PORT RICHEY, FL, 346523903, US | 5453 GULF DR, SUITE 3, NEW PORT RICHEY, FL, 346523903, US | |||||||||||||||||||||||||||||||
|
Phone | +1 727-847-2214 |
Fax | 7278460923 |
Authorized person
Name | DR. ALOK KUMAR |
Role | GENERAL PARTNER |
Phone | 7278472214 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | No |
Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | RAILROAD MEDICARE PROV # |
Number | CI1381 |
State | FL |
Issuer | MEDICAID |
Number | 378183600 |
State | FL |
Name | Role | Address |
---|---|---|
EVERETT, WILLIAM M. | Agent | 7177 W BROWARD BLVD, PLANTATION, FL, 33317 |
Name | Role | Address |
---|---|---|
EVERETT, WILLIAM M. | President | 7177 W BROWARD BLVD, PLANTATION, FL |
Name | Role | Address |
---|---|---|
EVERETT, DONNE M. | Secretary | 7177 N BROWARD BLVD, PLANTATION, FL |
Name | Role | Address |
---|---|---|
EVERETT, DONNE M. | Treasurer | 7177 N BROWARD BLVD, PLANTATION, FL |
Event Type | Filed Date | Value | Description |
---|---|---|---|
INVOLUNTARILY DISSOLVED | 1986-11-14 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State