| Entity Name: | INCARE MEDICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 May 2004 (21 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P04000083461 |
| FEI/EIN Number | 201318786 |
| Address: | 649 US HWY 1, Suite 2, North Palm Beach, FL, 33408, US |
| Mail Address: | 649 US HWY 1, Suite 2, North Palm Beach, FL, 33408, US |
| ZIP code: | 33408 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770625675 | 2007-02-14 | 2011-07-07 | 649 US HIGHWAY 1, SUITE 2, NORTH PALM BEACH, FL, 334084600, US | 649 US HIGHWAY 1, SUITE 2, NORTH PALM BEACH, FL, 334084600, US | |||||||||||||||||||||||||
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| Phone | +1 561-775-6455 |
| Fax | 5617756456 |
Authorized person
| Name | DR. SHEELA SHAH |
| Role | DR. |
| Phone | 5617756455 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0075721 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 263578000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHAH SHEELA R | Agent | 649 US HWY 1, North Palm Beach, FL, 33408 |
| Name | Role | Address |
|---|---|---|
| SHAH SHEELA R | President | 649 US HWY 1, North Palm Beach, FL, 33408 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000072277 | PEACEFUL PARADISE TREATMENT CENTER | EXPIRED | 2017-07-04 | 2022-12-31 | No data | 321 NORTHLAKE BLVD, SUITE 102, NORTH PALM BEACH, FL, 33408 |
| G15000096240 | PALM BEACH COUNTY COMMUNITY CLINIC | EXPIRED | 2015-09-18 | 2020-12-31 | No data | 649 US HWY 1, SUITE 2, NORTH PALM BEACH, FL, 33408 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-29 | 649 US HWY 1, Suite 2, North Palm Beach, FL 33408 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-29 | 649 US HWY 1, Suite 2, North Palm Beach, FL 33408 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-29 | 649 US HWY 1, Suite 2, North Palm Beach, FL 33408 | No data |
| CANCEL ADM DISS/REV | 2006-09-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| AMENDMENT | 2005-09-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2005-02-28 | SHAH, SHEELA R | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-24 |
| AMENDED ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-02-13 |
| ANNUAL REPORT | 2020-03-29 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-01-29 |
| ANNUAL REPORT | 2017-02-25 |
| ANNUAL REPORT | 2016-05-11 |
| ANNUAL REPORT | 2015-04-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
