| Entity Name: | CARIBBEAN COMMUNITY CONNECTION OF ORLANDO,INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 25 Jun 2004 (21 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 27 Jun 2008 (17 years ago) |
| Document Number: | N04000006345 |
| FEI/EIN Number | 300247231 |
| Mail Address: | 620 NEW MEXICO WOODS CT, ORLANDO, FL, 32824 |
| Address: | 122 W. Spoule Ave, Kissimmee, FL, 34741, US |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750511291 | 2009-07-17 | 2024-10-25 | 620 NEW MEXICO WOODS CT, ORLANDO, FL, 328247552, US | 122 W SPROULE AVE, KISSIMMEE, FL, 347415048, US | |||||||||||||||||||||||||
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| Phone | +1 407-473-1442 |
| Fax | 4075227617 |
| Phone | +1 407-473-7616 |
| Fax | 3214283600 |
Authorized person
| Name | MRS. ANJIRO GABRIEL |
| Role | CEO |
| Phone | 4074731442 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1228 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GABRIEL ANJIRO | Agent | 620 NEW MEXICO WOODS CT, ORLANDO, FL, 32824 |
| Name | Role | Address |
|---|---|---|
| GABRIEL ANJIRO E | President | 1701 W. Wetherbee Road, Orlando, FL, 32877 |
| Name | Role | Address |
|---|---|---|
| CROSBY ADA | Secretary | 1701 W. Wetherbee Road, Orlando, FL, 32877 |
| Name | Role | Address |
|---|---|---|
| Henry Rupert | Treasurer | 1701 W. Wetherbee Road, Orlando, FL, 32877 |
| Name | Role | Address |
|---|---|---|
| Chance Maureen Mrs. | Chairman | 1701 W. Wetherbee Road, Orlando, FL, 32877 |
| Name | Role | Address |
|---|---|---|
| Board Officer | Vice President | 1701 W. Wetherbee Road, Orlando, FL, 32877 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G04048900147 | CARIBBEAN COMMUNITY CONNECTION OF ORLANDO | ACTIVE | 2004-02-17 | 2030-12-31 | No data | 620 NEW MEXICO WOODS COURT, ORLANDO, FL 32824, ORLANDO, FL, 32824 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-26 | 122 W. Spoule Ave, Kissimmee, FL 34741 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-05-27 | GABRIEL, ANJIRO | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-27 | 122 W. Spoule Ave, Kissimmee, FL 34741 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-27 | 620 NEW MEXICO WOODS CT, ORLANDO, FL 32824 | No data |
| AMENDMENT | 2008-06-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-05-27 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
