| Entity Name: | HEALTH & WELLCARE SERVICES OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Aug 2009 (15 years ago) |
| Date of dissolution: | 15 Apr 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 15 Apr 2019 (6 years ago) |
| Document Number: | P09000068863 |
| FEI/EIN Number | 800462168 |
| Address: | 5915 W GULF TO LAKE HIGHWAY, CRYSTAL RIVER, FL, 34429 |
| Mail Address: | 5915 W GULF TO LAKE HIGHWAY, CRYSTAL RIVER, FL, 34429 |
| ZIP code: | 34429 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144376658 | 2007-01-26 | 2012-11-14 | 5915 W GULF TO LAKE HWY, CRYSTAL RIVER, FL, 344297565, US | 5915 W GULF TO LAKE HWY, CRYSTAL RIVER, FL, 344297565, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 352-794-3872 |
| Fax | 3527943876 |
Authorized person
| Name | JOHNNIE R DEGRAW |
| Role | PRESIDENT |
| Phone | 3527943872 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME0048978 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OSCAR |
| Number | 108911 |
| State | FL |
| Issuer | MEDICAID |
| Number | 002711800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BAYS MICHAEL D | Agent | 5915 W GULF TO LAKE HIGHWAY, CRYSTAL RIVER, FL, 34429 |
| Name | Role | Address |
|---|---|---|
| DEGRAW JOHN R | President | 5915 W GULF TO LAKE HIGHWAY, CRYSTAL RIVER, FL, 34429 |
| Name | Role | Address |
|---|---|---|
| BAYS MICHAEL D | Vice President | 5915 W GULF TO LAKE HIGHWAY, CRYSTAL RIVER, FL, 34429 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-04-15 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-04-15 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-07-14 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-02-25 |
| ANNUAL REPORT | 2013-03-26 |
| ANNUAL REPORT | 2012-10-03 |
| ANNUAL REPORT | 2012-04-24 |
| ANNUAL REPORT | 2011-04-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
