| Entity Name: | METROPOLITAN CHARITIES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 01 May 1992 (33 years ago) |
| Document Number: | N48718 |
| FEI/EIN Number | 593153947 |
| Address: | 701 94th Ave. N, ST PETERSBURG, FL, 33702, US |
| Mail Address: | 701 94th Ave. N, ST PETERSBURG, FL, 33702, US |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013277060 | 2012-05-24 | 2024-02-01 | 701 94TH AVE N STE 250, ST PETERSBURG, FL, 337022448, US | 625 6TH AVE S STE 305, SAINT PETERSBURG, FL, 337014664, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 727-321-3854 |
| Fax | 7273277670 |
Authorized person
| Name | MISS ERIN JACOBS |
| Role | SR. DIRECTOR OF PRACTICE ADMIN |
| Phone | 7273213854 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QF0400X - Federally Qualified Health Center (FQHC) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015736100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 108944500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Ellison Jason | Agent | 150 2nd Ave. N., ST PETERSBURG, FL, 33701 |
| Name | Role | Address |
|---|---|---|
| Keys Derek | Boar | 701 94th Ave. N, ST PETERSBURG, FL, 33702 |
| Doty Robin | Boar | 701 94th Ave. N, ST PETERSBURG, FL, 33702 |
| Godinez Jorge-Luis | Boar | 701 94th Ave. N, ST PETERSBURG, FL, 33702 |
| Valdez David Ms. | Boar | 701 94th Ave. N, ST PETERSBURG, FL, 33702 |
| Sanders Bob | Boar | 701 94th Ave. N, ST PETERSBURG, FL, 33702 |
| Name | Role | Address |
|---|---|---|
| Rajkumar Priya Ms. | Chief Executive Officer | 701 94th Ave. N, ST PETERSBURG, FL, 33702 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000095227 | INCLUSIVITEA | ACTIVE | 2021-07-21 | 2026-12-31 | No data | 3251 3RD AVE N., ST PETERSBURG, FL, 33713 |
| G19000013495 | METRO INCLUSIVE HEALTH | ACTIVE | 2019-01-24 | 2029-12-31 | No data | 701 94TH AVE. N., SUITE 250, SAINT PETERSBURG, FL, 33702 |
| G19000013498 | METRO RETRO & RETAIL | EXPIRED | 2019-01-24 | 2024-12-31 | No data | 3251 3RD AVE. N, SAINT PETERSBURG, FL, 33713 |
| G19000013502 | METRO LGBTQ WELCOME CENTER | EXPIRED | 2019-01-24 | 2024-12-31 | No data | 2227 CENTRAL AVE., SAINT PETERSBURG, FL, 33713 |
| G16000030599 | METRO WELLNESS & COMMUNITY CENTERS | ACTIVE | 2016-03-24 | 2026-12-31 | No data | 3251 3RD AVE NORTH, STE 125, ST. PETESBURG, FL, 33713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 1993-06-11 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
