| Entity Name: | INCARE PHYSICIANS INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Jan 2001 (24 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: | P01000000783 |
| FEI/EIN Number | 651065452 |
| Address: | 11240 SW 30 STREET, MIAMI, FL, 33165 |
| Mail Address: | 11240 SW 30 STREET, MIAMI, FL, 33165 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356502512 | 2008-06-20 | 2008-06-20 | 11240 SW 30TH ST, MIAMI, FL, 331652206, US | 11240 SW 30TH ST, MIAMI, FL, 331652206, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-552-5222 |
| Fax | 3055525222 |
Authorized person
| Name | MS. ODALYS GARROTE |
| Role | PRESIDENT |
| Phone | 3055525222 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10134 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1417932-00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARROTE ODALYS | Agent | 11240 SW 30 STREET, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| ODALYS GARROTE | Director | 11240 SW 30 STREET, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| ODALYS GARROTE | President | 11240 SW 30 STREET, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| ODALYS GARROTE | Treasurer | 11240 SW 30 STREET, MIAMI, FL, 33165 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000159518 | ARBOR HOUSE | EXPIRED | 2009-09-24 | 2014-12-31 | No data | 11240 SW 30 STREET, MIAMI, FL, 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CANCEL ADM DISS/REV | 2005-11-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2004-05-19 | GARROTE, ODALYS | No data |
| CHANGE OF MAILING ADDRESS | 2004-05-17 | 11240 SW 30 STREET, MIAMI, FL 33165 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-05-17 | 11240 SW 30 STREET, MIAMI, FL 33165 | No data |
| AMENDMENT | 2004-05-17 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-12-13 | 11240 SW 30 STREET, MIAMI, FL 33165 | No data |
| AMENDMENT | 2001-02-09 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-02-27 |
| ANNUAL REPORT | 2008-03-13 |
| ANNUAL REPORT | 2007-05-01 |
| ANNUAL REPORT | 2006-05-05 |
| REINSTATEMENT | 2005-11-09 |
| ANNUAL REPORT | 2004-05-19 |
| Amendment | 2004-05-17 |
| ANNUAL REPORT | 2003-02-27 |
| ANNUAL REPORT | 2002-12-13 |
| Amendment | 2001-02-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
