| Entity Name: | FLORIDAMEDCARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Oct 2003 (21 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L03000038049 |
| FEI/EIN Number | 562402875 |
| Address: | 12202 SE RIVERBEND CT, PORT ST LUCIE, FL, 34984 |
| Mail Address: | 12202 SE RIVERBEND CT, PORT ST LUCIE, FL, 34984 |
| ZIP code: | 34984 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205897667 | 2006-03-28 | 2010-10-27 | 1576 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 349525450, US | 1576 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 349525450, US | |||||||||||||||||||||||||||||||
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| Phone | +1 772-337-4578 |
Authorized person
| Name | DR. MANJULA NAYYAR |
| Role | PHYSICIAN |
| Phone | 7723426911 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME39359 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | ME30367 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUECROSS |
| Number | 45124 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NAYYAR MANJULA | Agent | 12202 SE RIVERBEND CT, PORT ST LUCIE, FL, 34984 |
| Name | Role | Address |
|---|---|---|
| NAYYAR MANJULA M | Manager | 12202 SE RIVERBEND CT, PORT ST LUCIE, FL, 34984 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-30 | 12202 SE RIVERBEND CT, PORT ST LUCIE, FL 34984 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-30 | 12202 SE RIVERBEND CT, PORT ST LUCIE, FL 34984 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-30 | 12202 SE RIVERBEND CT, PORT ST LUCIE, FL 34984 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-21 | NAYYAR, MANJULA | No data |
| LC AMENDMENT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-29 |
| ANNUAL REPORT | 2010-04-28 |
| ANNUAL REPORT | 2009-04-21 |
| LC Amendment | 2008-09-26 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-29 |
| ANNUAL REPORT | 2006-05-01 |
| ANNUAL REPORT | 2005-04-29 |
| ANNUAL REPORT | 2004-03-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
