| Entity Name: | FELCAS HEALTH CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 18 Mar 2009 (16 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 31 May 2012 (13 years ago) |
| Document Number: | P09000025042 |
| FEI/EIN Number | 26-4474616 |
| Address: | 10661 N KENDALL DRIVE, SUITE 112, MIAMI, FL 33176-1593 |
| Mail Address: | 10661 N KENDALL DRIVE, SUITE 112, MIAMI, FL 33176-1593 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447491402 | 2009-03-20 | 2012-05-29 | 10661 N KENDALL DR, 112, MIAMI, FL, 331768709, US | 10661 N KENDALL DR, 112, MIAMI, FL, 331768709, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-598-6224 |
| Fax | 3055986339 |
Authorized person
| Name | CARLOS MARTIN |
| Role | PRESIDENT |
| Phone | 3055986224 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME81313 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME106122 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO2683 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001426800 |
| State | FL |
| Issuer | BCBSFL |
| Number | 0003E |
| State | FL |
| Issuer | JMH |
| Number | 1024561 |
| State | FL |
| Issuer | UNITED HEALTHCARE |
| Number | 3052273 |
| State | FL |
| Issuer | CIGNA |
| Number | 4752389 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARTIN, CARLOS | Agent | 10661 N KENDALL DRIVE, SUITE 112, MIAMI, FL 33176-1593 |
| Name | Role | Address |
|---|---|---|
| MARTIN, CARLOS | President | 10661 N KENDALL DRIVE SUITE 112, MIAMI, FL 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2012-05-31 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2012-05-31 | MARTIN, CARLOS | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-18 | 10661 N KENDALL DRIVE, SUITE 112, MIAMI, FL 33176-1593 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-18 | 10661 N KENDALL DRIVE, SUITE 112, MIAMI, FL 33176-1593 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-18 | 10661 N KENDALL DRIVE, SUITE 112, MIAMI, FL 33176-1593 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-28 |
| Off/Dir Resignation | 2022-10-20 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-04-21 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-23 |
| ANNUAL REPORT | 2016-04-29 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
