| Entity Name: | CARUSO MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Apr 2000 (25 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P00000033811 |
| FEI/EIN Number | 650995437 |
| Address: | 3324 COMMERCE CNTR LN, SEBRING, FL, 33870 |
| Mail Address: | 3324 COMMERCE CNTR LN, SEBRING, FL, 33870 |
| ZIP code: | 33870 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750374906 | 2005-08-23 | 2008-11-06 | 3324 COMMERCE CENTER LN, SEBRING, FL, 338705542, US | 3324 COMMERCE CENTER LN, SEBRING, FL, 338705542, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 863-471-3344 |
| Fax | 8634711896 |
Authorized person
| Name | DR. JOHN R CARUSO |
| Role | DO |
| Phone | 8634713344 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | OS0004638 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT0016172 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| License Number | PA0003689 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS OF FL |
| Number | 82597 |
| State | FL |
| Name | Role |
|---|---|
| DEC CONSULTANTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| CARUSO JOHN R | Manager | 804 SPORTSMAN AVENUE, SEBRING, FL, 33875 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-04-28 | DEC CONSULTANTS, INC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-28 | 1515 INDIAN RIVER BLVD, SUITE A-210, VERO BEACH, FL 32960 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-07-14 | 3324 COMMERCE CNTR LN, SEBRING, FL 33870 | No data |
| CHANGE OF MAILING ADDRESS | 2003-07-14 | 3324 COMMERCE CNTR LN, SEBRING, FL 33870 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-03-25 |
| ANNUAL REPORT | 2008-07-07 |
| ANNUAL REPORT | 2007-01-18 |
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-01-26 |
| ANNUAL REPORT | 2004-06-18 |
| ANNUAL REPORT | 2003-07-14 |
| ANNUAL REPORT | 2002-01-29 |
| ANNUAL REPORT | 2001-02-05 |
| Domestic Profit | 2000-04-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
