| Entity Name: | PARADISE CARE OF ORLANDO INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Nov 2020 (4 years ago) |
| Document Number: | P20000090027 |
| FEI/EIN Number | 85-3997957 |
| Address: | 1700 N. Semoran Blvd, Orlando, FL, 32807, US |
| Mail Address: | 1700 N. Semoran Blvd, Orlando, FL, 32807, US |
| ZIP code: | 32807 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205575172 | 2022-05-31 | 2022-05-31 | 1700 N SEMORAN BLVD STE 136, ORLANDO, FL, 328073558, US | 1700 N SEMORAN BLVD STE 136, ORLANDO, FL, 328073558, US | |||||||||||||||||||||
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| Phone | +1 407-903-6164 |
| Fax | 4079036195 |
Authorized person
| Name | JUNIOR S CARRASCAL |
| Role | ADMINISTRATOR |
| Phone | 4074218322 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 110829500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CARRASCAL JUNIOR S | Agent | 1700 N. Semoran Blvd, Orlando, FL, 32807 |
| Name | Role | Address |
|---|---|---|
| CARRASCAL JUNIOR S | President | 1700 N. Semoran Blvd, Orlando, FL, 32807 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000059078 | PARADISE CARE CENTER | ACTIVE | 2021-04-29 | 2026-12-31 | No data | 1700 N SEMORAN BLVD, SUITE 136, ORLANDO, FL, 32807 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-22 | 1700 N. Semoran Blvd, # 136, Orlando, FL 32807 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-22 | 1700 N. Semoran Blvd, # 136, Orlando, FL 32807 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-22 | 1700 N. Semoran Blvd, # 136, Orlando, FL 32807 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-04-22 |
| Domestic Profit | 2020-11-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
