| Entity Name: | M CARE MEDICAL CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Aug 2013 (11 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 25 Feb 2015 (10 years ago) |
| Document Number: | P13000065004 |
| FEI/EIN Number | 46-3187447 |
| Address: | 3501 Orange Ave, FORT PIERCE, FL 34947 |
| Mail Address: | 3501 Orange Ave, FORT PIERCE, FL 34947 |
| ZIP code: | 34947 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396166252 | 2013-12-19 | 2023-04-06 | 3501 ORANGE AVE, FORT PIERCE, FL, 349473523, US | 3501 ORANGE AVE, FORT PIERCE, FL, 349473523, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 772-252-4872 |
| Fax | 7722524873 |
Authorized person
| Name | MANETTE EMILCARE |
| Role | PRESIDENT |
| Phone | 7722524872 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | P13000065004 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016139500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| EMILCARE, MANETTE | Agent | 3501 Orange Ave, FORT PIERCE, FL 34947 |
| Name | Role | Address |
|---|---|---|
| EMILCARE, MANETTE | President | 3501 Orange Ave, FORT PIERCE, FL 34947 |
| Name | Role | Address |
|---|---|---|
| ALLIANCE , LOUIDOR, MD | Chairman | 424 GAZETTA WAY, WEST PALM BEACH, FL 33413 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-29 | 3501 Orange Ave, FORT PIERCE, FL 34947 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-29 | 3501 Orange Ave, FORT PIERCE, FL 34947 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-29 | 3501 Orange Ave, FORT PIERCE, FL 34947 | No data |
| AMENDMENT | 2015-02-25 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2014-02-24 | M CARE MEDICAL CENTER INC. | No data |
| AMENDMENT | 2013-12-23 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2013-08-26 | M CARE CHIROPRACTIC MEDICAL SERVICES CORP | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-04-21 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
