| Entity Name: | AMERICAN CARE OF TAMPA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Mar 2005 (20 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 22 Feb 2016 (9 years ago) |
| Document Number: | P05000044073 |
| FEI/EIN Number | 202539389 |
| Address: | 12171 SW 268th Street, Homestead, FL, 33032, US |
| Mail Address: | 12171 SW 268th Street, Homestead, FL, 33032, US |
| ZIP code: | 33032 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588835847 | 2008-03-14 | 2008-03-14 | 11255 SW 211TH ST, MIAMI, FL, 331892240, US | 4467 US HIGHWAY 17 92 W, HAINES CITY, FL, 338449520, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 305-278-0200 |
| Fax | 7862350145 |
| Phone | +1 863-421-5500 |
| Fax | 8634218100 |
Authorized person
| Name | DR. JOSE E GARCIA JR. |
| Role | PRESIDENT |
| Phone | 3052780200 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 6684 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FACILITY LICENSE |
| Number | 6684 |
| State | FL |
| Issuer | AHCA NUMBER |
| Number | 6783 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROMANCE MARK A | Agent | 396 ALHAMBRA CIRCLE, MIAMI, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| GARCIA LODOISKA | Vice President | 12171 SW 268 STREET, HOMESTEAD, FL, 33032 |
| Name | Role | Address |
|---|---|---|
| GARCIA JOSE EJR. | President | 12171 SW 268 STREET, HOMESTEAD, FL, 33032 |
| Name | Role | Address |
|---|---|---|
| GARCIA JOSE EJR. | Director | 12171 SW 268 STREET, HOMESTEAD, FL, 33032 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-16 | ROMANCE, MARK A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-16 | 396 ALHAMBRA CIRCLE, NORTH TOWER, 14TH FLOOR, MIAMI, FL 33134 | No data |
| AMENDMENT | 2016-02-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-16 | 12171 SW 268th Street, Homestead, FL 33032 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-16 | 12171 SW 268th Street, Homestead, FL 33032 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-02-20 |
| Reg. Agent Change | 2022-07-21 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-02-05 |
| ANNUAL REPORT | 2017-01-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
