| Entity Name: | WELL-BEING COMMUNITY CENTER, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Oct 2017 (7 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 08 Jul 2019 (6 years ago) |
| Document Number: | P17000083689 |
| FEI/EIN Number | 82-3150293 |
| Address: | 2706 W SAINT ISABEL ST, TAMPA, FL 33607 |
| Mail Address: | 2706 W SAINT ISABEL ST, TAMPA, FL 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1114430949 | 2017-11-15 | 2022-08-01 | 2706 W ST ISABEL ST, TAMPA, FL, 336076382, US | 2706 W ST ISABEL ST, TAMPA, FL, 336076382, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-769-9571 |
| Fax | 8134928843 |
Authorized person
| Name | MRS. MARGARITA DE LA ROSA |
| Role | CEO |
| Phone | 8137699571 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101692101 |
| State | FL |
| Issuer | MEDICAID |
| Number | 105731200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 105731201 |
| State | FL |
| Issuer | MEDICAID |
| Number | 105430400 |
| State | FL |
| Issuer | MEDICAID |
| Number | 023311300 |
| State | FL |
| Issuer | MEDICAID |
| Number | 105482700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 101692100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DE LA ROSA, MARGARITA | Agent | 2706 W SAINT ISABEL ST, TAMPA, FL 33607 |
| Name | Role | Address |
|---|---|---|
| DE LA ROSA, MARGARITA | Chief Executive Officer | 7034 pelican island Dr, TAMPA, FL 33634 |
| Name | Role | Address |
|---|---|---|
| DE LA ROSA, MARGARITA | Secretary | 7034 pelican island Dr, TAMPA, FL 33634 |
| Name | Role | Address |
|---|---|---|
| ACOSTA, YANNIER ANTONIO, Sr. | President | 2706 W SAINT ISABEL ST, TAMPA, FL 33607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000075662 | WELL-BEING MEDICAL CENTER | ACTIVE | 2019-07-11 | 2029-12-31 | No data | 2706 W SAINT ISABEL ST, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-12-09 | 2706 W SAINT ISABEL ST, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2021-12-09 | 2706 W SAINT ISABEL ST, TAMPA, FL 33607 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-12-09 | 2706 W SAINT ISABEL ST, TAMPA, FL 33607 | No data |
| AMENDMENT | 2019-07-08 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-05-31 |
| AMENDED ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-31 |
| AMENDED ANNUAL REPORT | 2021-12-09 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-01-16 |
| AMENDED ANNUAL REPORT | 2019-09-17 |
| Amendment | 2019-07-08 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
