| Entity Name: | PHYSICIANS CARE GROUP HEALTH CHOICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 17 Sep 2007 (17 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P07000103360 |
| FEI/EIN Number | 26-1097707 |
| Address: | 4201 PALM AVENUE, SUITE C, HIALEAH, FL 33012 |
| Mail Address: | 4201 PALM AVENUE, SUITE C, HIALEAH, FL 33012 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558505297 | 2009-04-24 | 2009-04-24 | 4201 PALM AVE STE C, HIALEAH, FL, 330124424, US | 4201 PALM AVE STE C, HIALEAH, FL, 330124424, US | |||||||||||||||||
|
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| Phone | +1 305-796-3544 |
| Fax | 3058230096 |
Authorized person
| Name | ENRIQUE ZAMORA |
| Role | PRESIDENT |
| Phone | 3057963544 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZAMORA, ENRIQUE | Agent | 4201 PALM AVENUE, SUITE C, HIALEAH, FL 33012 |
| Name | Role | Address |
|---|---|---|
| ZAMORA, ENRIQUE | President | 3520 W. 18 AVE # 115, HIALEAH, FL 33012 |
| Name | Role | Address |
|---|---|---|
| ZAMORA, ENRIQUE | Director | 3520 W. 18 AVE # 115, HIALEAH, FL 33012 |
| MONTERO, ANGEL | Director | 4201 PALM AVE. STE C, HIALEAH, FL 33012 |
| Name | Role | Address |
|---|---|---|
| MONTERO, ANGEL | Manager | 4201 PALM AVE. STE C, HIALEAH, FL 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-09-09 | 4201 PALM AVENUE, SUITE C, HIALEAH, FL 33012 | No data |
| CHANGE OF MAILING ADDRESS | 2008-09-09 | 4201 PALM AVENUE, SUITE C, HIALEAH, FL 33012 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-09-09 | 4201 PALM AVENUE, SUITE C, HIALEAH, FL 33012 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-05-17 | ZAMORA, ENRIQUE | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000034929 | TERMINATED | 1000000246194 | DADE | 2012-01-09 | 2032-01-18 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI NORTH SERVICE CENTER, 8175 NW 12TH ST STE 119, MIAMI FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-30 |
| Reg. Agent Change | 2008-09-09 |
| ANNUAL REPORT | 2008-05-17 |
| Domestic Profit | 2007-09-17 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
