Entity Name: | CARCAMO CARE PEDIATRICS, INC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 31 Jan 2024 (a year ago) |
Document Number: | P24000008706 |
FEI/EIN Number | 99-1044225 |
Address: | 290 KENTUCKY BLUE CIRCLE, APOPKA, FL 32712 |
Mail Address: | 290 KENTUCKY BLUE CIRCLE, APOPKA, FL 32712 |
ZIP code: | 32712 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1144086026 | 2024-02-27 | 2024-02-27 | PO BOX 2442, APOPKA, FL, 327042442, US | 2320 NORTH BLVD W, DAVENPORT, FL, 338378998, US | |||||||||||||||
|
Phone | +1 863-204-9485 |
Fax | 8632049015 |
Authorized person
Name | ANTONIO CARCAMO |
Role | OWNER |
Phone | 4076685519 |
Taxonomy
Taxonomy Code | 208000000X - Pediatrics Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CARCAMO, ANTONIO A, CEO | Agent | 290 KENTUCKY BLUE CIRC, APOPKA, FL 32712 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2024-04-01 | 290 KENTUCKY BLUE CIRCLE, APOPKA, FL 32712 | No data |
Name | Date |
---|---|
Domestic Profit | 2024-01-31 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State