| Entity Name: | WE CARE MEDICAL CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Jan 2009 (16 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: | P09000007547 |
| Address: | 714-715 NORTHWEST 62ND STREET, MIAMI, FL, 33150 |
| Mail Address: | 714-715 NORTHWEST 62ND STREET, MIAMI, FL, 33150 |
| ZIP code: | 33150 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821238882 | 2009-03-03 | 2009-03-03 | PO BOX 471602, MIAMI, FL, 332471602, US | 714 NW 62ND ST, MIAMI, FL, 331504332, US | |||||||||||||||||||||||||
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| Phone | +1 305-559-7996 |
| Phone | +1 305-409-1287 |
Authorized person
| Name | CLYDE PETTAWAY |
| Role | CHAIRMAN OF THE BOARD |
| Phone | 3054091287 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | ME058 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 269915000 |
| State | FL |
| Name | Role |
|---|---|
| SPIEGEL & UTRERA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| PETTAWAY CLYDE D | President | 714-715 NORTHWEST 62ND STREET, MIAMI, FL, 33150 |
| Name | Role | Address |
|---|---|---|
| PETTAWAY CLYDE D | Secretary | 714-715 NORTHWEST 62ND STREET, MIAMI, FL, 33150 |
| Name | Role | Address |
|---|---|---|
| PETTAWAY CLYDE D | Director | 714-715 NORTHWEST 62ND STREET, MIAMI, FL, 33150 |
| DEAN EDDIE | Director | 714-715 NORTHWEST 62ND STREET, MIAMI, FL, 33150 |
| Name | Role | Address |
|---|---|---|
| DEAN EDDIE | Vice President | 714-715 NORTHWEST 62ND STREET, MIAMI, FL, 33150 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2009-01-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
