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ICARE MEDICAL TRANSPORTATION LLC

Company Details

Entity Name: ICARE MEDICAL TRANSPORTATION LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Feb 2016 (9 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 14 Sep 2023 (a year ago)
Document Number: L16000024361
FEI/EIN Number 811325782
Address: 340 Aventurine Ave, SAINT AUGUSTINE, FL, 32086, US
Mail Address: 340 AVENTURINE AVE, SAINT AUGUSTINE, FL, 32086, US
ZIP code: 32086
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952850059 2016-09-29 2016-09-29 55 DELTONA BLVD, SAINT AUGUSTINE, FL, 320867020, US 55 DELTONA BLVD, SAINT AUGUSTINE, FL, 320867020, US

Contacts

Phone +1 904-417-8523

Authorized person

Name HISHAM HERZALLA
Role MANAGER
Phone 9544043649

Taxonomy

Taxonomy Code 343900000X - Non-emergency Medical Transport (VAN)
State FL
Is Primary Yes

Agent

Name Role Address
HERZALLA HISHAM M Agent 340 Aventurine Ave, SAINT AUGUSTINE, FL, 32086

Manager

Name Role Address
HERZALLA HISHAM M Manager 340 AVENTURINE AVE, SAINT AUGUSTINE, FL, 32086

Events

Event Type Filed Date Value Description
LC AMENDMENT 2023-09-14 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-02-12 340 Aventurine Ave, SAINT AUGUSTINE, FL 32086 No data
REGISTERED AGENT ADDRESS CHANGED 2020-02-12 340 Aventurine Ave, SAINT AUGUSTINE, FL 32086 No data
REGISTERED AGENT NAME CHANGED 2017-03-20 HERZALLA, HISHAM M No data
LC AMENDMENT 2016-08-17 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-25
LC Amendment 2023-09-14
ANNUAL REPORT 2023-03-28
ANNUAL REPORT 2022-07-15
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-02-12
ANNUAL REPORT 2019-02-03
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-03-20
LC Amendment 2016-08-17

Date of last update: 01 Feb 2025

Sources: Florida Department of State