| Entity Name: | VCT MEDICAL TRANSPORTATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 25 Oct 2022 (2 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 19 Jul 2023 (2 years ago) |
| Document Number: | P22000081650 |
| FEI/EIN Number | 92-0850760 |
| Address: | 5210 LINTON BLVD, STE 301, DELRAY BEACH, FL 33484 |
| Mail Address: | 5210 LINTON BLVD, STE 301, DELRAY BEACH, FL 33484 |
| ZIP code: | 33484 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356047534 | 2023-01-31 | 2023-01-31 | 5210 LINTON BLVD STE 301, DELRAY BEACH, FL, 334846537, US | 5210 LINTON BLVD STE 301, DELRAY BEACH, FL, 334846537, US | |||||||||||||||||||
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| Phone | +1 561-921-0344 |
Authorized person
| Name | DR. RODOLFO CARRILLO JIMENEZ |
| Role | PRESIDENT |
| Phone | 5612716015 |
Taxonomy
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | C642720730560 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CARRILLO-JIMENEZ, RODOLFO | Agent | 5210 LINTON BLVD, STE 301, DELRAY BEACH, FL 33484 |
| Name | Role | Address |
|---|---|---|
| CARRILLO-JIMENEZ, RODOLFO | President | 5210 LINTON BLVD STE 301, DELRAY BEACH, FL 33484 |
| Name | Role | Address |
|---|---|---|
| LAPOLA QUIROZ, TATIANA YADIRA | Vice President | 5210 LINTON BLVD STE 301, DELRAY BEACH, FL 33484 |
| COBO, VANESA | Vice President | 5210 LINTON BLVD STE 301, DELRAY BEACH, FL 33484 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2023-07-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| Amendment | 2023-07-19 |
| ANNUAL REPORT | 2023-01-27 |
| Domestic Profit | 2022-10-25 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
