| Entity Name: | ULTRA CARE MEDICAL GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Jan 2018 (7 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 10 Oct 2019 (5 years ago) |
| Document Number: | P18000008408 |
| FEI/EIN Number | 824139959 |
| Address: | 27 HOMESTEAD RD N - STE. 55, LEHIGH ACRES, FL, 33936, US |
| Mail Address: | 27 HOMESTEAD RD N - STE. 55, LEHIGH ACRES, FL, 33936, US |
| ZIP code: | 33936 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629638028 | 2019-06-18 | 2021-02-02 | 27 HOMESTEAD RD N STE 55, LEHIGH ACRES, FL, 339366673, US | 27 HOMESTEAD RD N STE 55, LEHIGH ACRES, FL, 339366673, US | |||||||||||||||||||||||||
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| Phone | +1 239-369-2055 |
| Fax | 2393032463 |
Authorized person
| Name | MARIA REYES |
| Role | OWNER/PRESIDENT |
| Phone | 8327945758 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103275400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REYES MARIA | Agent | 42 ABACO ST, LEHIGH ACRES, FL, 33936 |
| Name | Role | Address |
|---|---|---|
| REYES MARIA | President | 42 ABACO, LEHIGH ACRES, FL, 33936 |
| Name | Role | Address |
|---|---|---|
| REYES MARIA | Treasurer | 42 ABACO, LEHIGH ACRES, FL, 33936 |
| Name | Role | Address |
|---|---|---|
| RECIO JANIS | Vice President | 42 ABACO DR, LEHIGH ACRES, FL, 33936 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2019-10-10 | No data | No data |
| AMENDMENT | 2018-04-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-09 | 27 HOMESTEAD RD N - STE. 55, LEHIGH ACRES, FL 33936 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-09 | 27 HOMESTEAD RD N - STE. 55, LEHIGH ACRES, FL 33936 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-24 |
| Amendment | 2019-10-10 |
| ANNUAL REPORT | 2019-04-30 |
| Amendment | 2018-04-09 |
| Domestic Profit | 2018-01-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
