| Entity Name: | AMOCARE HEALTH SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Feb 2018 (7 years ago) |
| Document Number: | L18000041497 |
| FEI/EIN Number | 82-4386166 |
| Address: | 5329 VILLAGE MARKET, WESLEY CHAPEL, FL, 33544, US |
| Mail Address: | 5329 VILLAGE MARKET, WESLEY CHAPEL, FL, 33544, US |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417422346 | 2018-10-07 | 2021-03-06 | 5329 VILLAGE MARKET, WESLEY CHAPEL, FL, 335448451, US | 5329 VILLAGE MARKET, WESLEY CHAPEL, FL, 335448451, US | |||||||||||||||||||||
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| Phone | +1 813-467-8400 |
| Fax | 8134417150 |
Authorized person
| Name | DR. GEORGINA AMOAH |
| Role | PHARMACIST |
| Phone | 8503457754 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101408500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AMOAH JOSEPH | Agent | 31923 BOURNEVILLE TER, WESLEY CHAPEL, FL, 33543 |
| Name | Role | Address |
|---|---|---|
| AMOAH JOSEPH | Manager | 31923 BOURNEVILLE TER, WESLEY CHAPEL, FL, 33543 |
| AMOAH GEORGINA | Manager | 31923 BOURNEVILLE TER, WESLEY CHAPEL, FL, 33543 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-06 | 5329 VILLAGE MARKET, WESLEY CHAPEL, FL 33544 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-06 | 5329 VILLAGE MARKET, WESLEY CHAPEL, FL 33544 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-12 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-02-06 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-04-06 |
| Florida Limited Liability | 2018-02-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
