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LIFECARE SPECIALTY CLINIC, INC. - Florida Company Profile

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Company Details

Entity Name: LIFECARE SPECIALTY CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive
Date Filed: 13 Dec 2018 (7 years ago)
Date of dissolution: 22 Sep 2023 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (2 years ago)
Document Number: N18000013072
FEI/EIN Number 821869303
Address: 934 N. University Dr., Coral Springs, FL, 33071, US
Mail Address: 934 N. UNIVERSITY DR., CORAL SPRINGS, FL, 33071, US
ZIP code: 33071
City: Coral Springs
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VENEZIA JOHN President 934 N. University Dr., Coral Springs, FL, 33071
ROCHA LUIS A Chief Executive Officer 934 N. University Dr., Coral Springs, FL, 33071
Cohen James Director 934 N. University Dr., Coral Springs, FL, 33071
MATZNER GARY Agent 2800 PONCE DE LEON BOULEVARD, CORAL GABLES, FL, 33134

Commercial and government entity program

CAGE number:
90JT7
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2023-05-06
SAM Expiration:
2023-05-06

Contact Information

POC:
LUIS A. ROCHA

National Provider Identifier

NPI Number:
1073114211
Certification Date:
2021-02-15

Authorized Person:

Name:
LUIS A ROCHA
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
CHANGE OF PRINCIPAL ADDRESS 2021-06-05 934 N. University Dr., 443, Coral Springs, FL 33071 -
CHANGE OF MAILING ADDRESS 2021-06-05 934 N. University Dr., 443, Coral Springs, FL 33071 -
AMENDMENT AND NAME CHANGE 2021-02-08 LIFECARE SPECIALTY CLINIC, INC. -
NAME CHANGE AMENDMENT 2019-05-20 LIFECARE SPECIALTY CLINICS, INC. -

Documents

Name Date
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-06-05
Amendment and Name Change 2021-02-08
ANNUAL REPORT 2020-03-17
Name Change 2019-05-20
ANNUAL REPORT 2019-05-01
Domestic Non-Profit 2018-12-13

Tax Exempt

Employer Identification Number (EIN) :
82-1869303
In Care Of Name:
% LUIS A ROCHA
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2018-05
National Taxonomy Of Exempt Entities:
Health Care: Ambulatory Health Center, Community Clinic
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

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Date of last update: 01 Aug 2025

Sources: Florida Department of State