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MD MEDICARE CHOICE, INC.

Company Details

Entity Name: MD MEDICARE CHOICE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 11 Feb 2005 (20 years ago)
Date of dissolution: 26 Sep 2008 (16 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2008 (16 years ago)
Document Number: P05000022853
FEI/EIN Number 134293648
Address: 5501 W WATERS AVE, STE 401, TAMPA, FL, 33624
Mail Address: 5501 W WATERS AVE, SUITE 401, TAMPA, FL, 33624
ZIP code: 33624
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326222795 2007-12-20 2007-12-20 5501 W WATERS AVE, SUITE 401, TAMPA, FL, 336341229, US 5501 W WATERS AVE, SUITE 401, TAMPA, FL, 336341229, US

Contacts

Phone +1 813-901-9208
Fax 8139019209

Authorized person

Name MR. JOSE ESPARRA CANSOBRE
Role CHIEF FINANCIAL OFFICER
Phone 18139019208

Taxonomy

Taxonomy Code 302R00000X - Health Maintenance Organization
License Number H5729
State FL
Is Primary Yes

Agent

Name Role
C T CORPORATION SYSTEM Agent

President

Name Role Address
LUGO CARLOS P President 5501 W WATERS AVE SUITE 401, TAMPA, FL, 33634

Treasurer

Name Role Address
LUGO CARLOS P Treasurer 5501 W WATERS AVE SUITE 401, TAMPA, FL, 33634

Director

Name Role Address
LUGO CARLOS P Director 5501 W WATERS AVE SUITE 401, TAMPA, FL, 33634

Chief Executive Officer

Name Role Address
MARRERO ANTONIO C Chief Executive Officer 5501 W. WATERS AVE SUITE 401, TAMPA, FL, 33634

Chief Financial Officer

Name Role Address
ESPARRA JOSE C Chief Financial Officer 5501 W WATERS AVE SUITE 401, TAMPA, FL, 33634

Chief Marketing Officer

Name Role Address
CRESPO ABNEL C Chief Marketing Officer 5501 W WATERS AVE SUITE 401, TAMPA, FL, 33634

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data
AMENDED AND RESTATEDARTICLES 2007-11-13 No data No data
NAME CHANGE AMENDMENT 2007-09-13 MD MEDICARE CHOICE, INC. No data
AMENDMENT 2007-08-17 No data No data
CHANGE OF PRINCIPAL ADDRESS 2006-03-28 5501 W WATERS AVE, STE 401, TAMPA, FL 33624 No data
CHANGE OF MAILING ADDRESS 2006-03-28 5501 W WATERS AVE, STE 401, TAMPA, FL 33624 No data
NAME CHANGE AMENDMENT 2006-02-10 PARTNERCARE HEALTH PLAN, INC. No data
AMENDMENT 2005-07-08 No data No data
AMENDMENT 2005-05-02 No data No data

Documents

Name Date
Reg. Agent Resignation 2009-04-10
Amended and Restated Articles 2007-11-13
Name Change 2007-09-13
Amendment 2007-08-17
ANNUAL REPORT 2007-01-05
Reg. Agent Change 2006-04-25
ANNUAL REPORT 2006-03-28
Name Change 2006-02-10
Amendment 2005-07-08
Amendment 2005-05-02

Date of last update: 01 Feb 2025

Sources: Florida Department of State