| Entity Name: | SPECIALTY CARE ASSISTANCE, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 Apr 2001 (24 years ago) |
| Document Number: | P01000037704 |
| FEI/EIN Number | 593708251 |
| Address: | 1721 WOODMARKER CT., BRANDON, FL, 33510, US |
| Mail Address: | P.O. BOX 4256, BRANDON, FL, 33509, US |
| ZIP code: | 33510 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003078221 | 2008-06-29 | 2008-06-29 | PO BOX 4256, BRANDON, FL, 335094256, US | 1721 WOODMARKER CT, BRANDON, FL, 335102760, US | |||||||||||||||||||||||
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| Phone | +1 813-802-6175 |
Authorized person
| Name | JOSE ROJAS |
| Role | PRESIDENT |
| Phone | 8138026175 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | 228082 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 676688998 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROJAS JOSE | Agent | 1721 WOODMARKER CT, BRANDON, FL, 33510 |
| Name | Role | Address |
|---|---|---|
| ROJAS JOSE | President | P.O. BOX 4256, BRANDON, FL, 33509 |
| Name | Role | Address |
|---|---|---|
| CAMARA MARGARITA | Vice President | P.O. BOX 4256, BRANDON, FL, 33509 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000002159 | A+ MASTER CLEANING SERVICES | EXPIRED | 2010-01-06 | 2015-12-31 | No data | P.O. BOX 4256, BRANDON, FL, 33509 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
