| Entity Name: | ANGEL LOVIN TRUST CARE, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Sep 2006 (18 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P06000121869 |
| FEI/EIN Number | 205614757 |
| Address: | 1721 WOODMARKER CT, BRANDON, FL, 33510 |
| Mail Address: | P.O. BOX 478, BRANDON, FL, 33509 |
| ZIP code: | 33510 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649432865 | 2008-06-29 | 2009-01-27 | PO BOX 478, BRANDON, FL, 335090478, US | 1721 WOODMARKER CT, BRANDON, FL, 335102760, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 813-802-6174 |
Authorized person
| Name | MARGARITA CAMARA |
| Role | PRESIDENT |
| Phone | 8138026174 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | 229917 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 692057898 |
| State | FL |
| Issuer | MEDICAID |
| Number | 692057801 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CAMARA MARGARITA | Agent | 1721 WOODMARKER CT, BRANDON, FL, 33510 |
| Name | Role | Address |
|---|---|---|
| CAMARA MARGARITA | President | 1721 WOODMARKER CT, BRANDON, FL, 33510 |
| Name | Role | Address |
|---|---|---|
| ROJAS JOSE | Vice President | 1721 WOODMARKER CT, BRANDON, FL, 33510 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| PENDING REINSTATEMENT | 2014-10-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-28 |
| ANNUAL REPORT | 2010-04-30 |
| ANNUAL REPORT | 2009-08-28 |
| ANNUAL REPORT | 2008-07-25 |
| ANNUAL REPORT | 2007-04-30 |
| Domestic Profit | 2006-09-22 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
