Entity Name: | CONNECT TO CARE OF FLORIDA, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 10 Jun 2021 (4 years ago) |
Date of dissolution: | 15 May 2022 (3 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 15 May 2022 (3 years ago) |
Document Number: | L21000270350 |
Address: | 1225 W BEAVER STREET, 120, JACKSONVILLE, FL, 32204, US |
Mail Address: | 1225 W BEAVER STREET, 120, JACKSONVILLE, FL, 32204, US |
ZIP code: | 32204 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1053088476 | 2021-08-24 | 2021-10-04 | 1225 W BEAVER ST STE 120, JACKSONVILLE, FL, 322041415, US | 1225 W BEAVER ST STE 120, JACKSONVILLE, FL, 322041415, US | |||||||||||||||||||||
|
Phone | +1 904-648-6200 |
Fax | 9046486300 |
Authorized person
Name | CHARITA BRYANT |
Role | CEO |
Phone | 9046486200 |
Taxonomy
Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 111547500 |
State | FL |
Name | Role | Address |
---|---|---|
BRYANT CHARITA | Agent | 1225 W BEAVER STREET, JACKSONVILLE, FL, 32204 |
Name | Role | Address |
---|---|---|
BRYANT CHARITA | Chief Executive Officer | 1225 W BEAVER STREET, 120, JACKSONVILLE, FL, 32204 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2022-05-15 | No data | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2022-05-15 |
Florida Limited Liability | 2021-06-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State