| Entity Name: | BESTCARE PHYSICIAN SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Aug 2018 (6 years ago) |
| Document Number: | L18000199950 |
| FEI/EIN Number | 831644953 |
| Address: | 5331 PRIMROSE LAKE CIRCLE STE 112, Tampa, FL, 33647, US |
| Mail Address: | 5331 PRIMROSE LAKE CIRCLE STE 112, Tampa, FL, 33647, US |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821579046 | 2018-08-25 | 2021-01-21 | 5331 PRIMROSE LAKE CIR STE 112, TAMPA, FL, 336473764, US | 5331 PRIMROSE LAKE CIR STE 112, TAMPA, FL, 336473764, US | |||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-240-9556 |
| Fax | 8132001036 |
Authorized person
| Name | DR. RAMON GUERRERO CUETO |
| Role | MENBER |
| Phone | 8132409556 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME100467 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME100751 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| License Number | ME100751 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ADAMS DAVID W | Agent | 1925 E. SECOND AVE., TAMPA, FL, 33605 |
| Name | Role | Address |
|---|---|---|
| RONDON RAFAEL A | Auth | 5331 PRIMROSE LAKE CIRCLE STE 112, Tampa, FL, 33647 |
| GUERRERO CUETO RAMON | Auth | 5331 PRIMROSE LAKE CIRCLE STE 112, Tampa, FL, 33647 |
| ABIODUN ODUKOMAIYA HENRY | Auth | 5331 PRIMROSE LAKE CIRCLE STE 112, Tampa, FL, 33647 |
| DIAZ MORI FERNANDO | Auth | 5331 PRIMROSE LAKE CIRCLE STE 112, Tampa, FL, 33647 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000098342 | BPS | EXPIRED | 2018-09-05 | 2023-12-31 | No data | 3903 NORTHDALE BOULEVARD, SUITE 100E, TAMPA, FL, 33624 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-26 | 5331 PRIMROSE LAKE CIRCLE STE 112, Tampa, FL 33647 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-26 | 5331 PRIMROSE LAKE CIRCLE STE 112, Tampa, FL 33647 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-02-26 |
| ANNUAL REPORT | 2020-09-22 |
| ANNUAL REPORT | 2019-04-24 |
| Florida Limited Liability | 2018-08-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
