| Entity Name: | CHILDREN'S CARE PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Aug 2000 (25 years ago) |
| Document Number: | L00000010009 |
| FEI/EIN Number | 651033233 |
| Address: | 1920 EAST HALLANDALE BEACH BLVD., SUITE 504, HALLANDALE, FL, 33009 |
| Mail Address: | 7735 NW 23 ST, Hallandale Beach, FL, 33009, US |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225420649 | 2015-02-23 | 2015-02-23 | 1920 E HALLANDALE BEACH BLVD, SUITE 504, HALLANDALE BEACH, FL, 330094722, US | 1920 E HALLANDALE BEACH BLVD, SUITE 504, HALLANDALE BEACH, FL, 330094722, US | |||||||||||||||||||||||||
|
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| Phone | +1 954-458-2636 |
| Fax | 9544586979 |
Authorized person
| Name | MARCOS AKERMAN |
| Role | MANAGING MEMBER |
| Phone | 9544582636 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME76672 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 255732100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MANDELBLUM DIANA | Agent | 1920 EAST HALLANDALE BCH. BLVD., HALLANDALE, FL, 33009 |
| Name | Role | Address |
|---|---|---|
| AKERMAN MARCOS | Managing Member | 7735 NW 23RD ST, HOLLYWOOD, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-27 | 1920 EAST HALLANDALE BEACH BLVD., SUITE 504, HALLANDALE, FL 33009 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-01-08 | 1920 EAST HALLANDALE BCH. BLVD., SUITE #504, HALLANDALE, FL 33009 | No data |
| REGISTERED AGENT NAME CHANGED | 2004-03-18 | MANDELBLUM, DIANA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2000-12-18 | 1920 EAST HALLANDALE BEACH BLVD., SUITE 504, HALLANDALE, FL 33009 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-25 |
| ANNUAL REPORT | 2023-04-02 |
| ANNUAL REPORT | 2022-03-27 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-02-09 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-02-11 |
| ANNUAL REPORT | 2017-02-19 |
| ANNUAL REPORT | 2016-01-30 |
| ANNUAL REPORT | 2015-03-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
