| Entity Name: | NEW LIFE OBSTETRICAL CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 04 Jan 1994 (31 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P94000000561 |
| FEI/EIN Number | 65-0458576 |
| Address: | 400 E. MARTIN LUTHER KING BLVD, SUITE 105, TAMPA, FL 33603 |
| Mail Address: | 2727 W. MLK JR. BLVD., SUITE 630, TAMPA, FL 33607 |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962455097 | 2006-05-18 | 2008-05-21 | 400 EAST MARTIN LUTHER KING JR BLVD, SUITE 105, TAMPA, FL, 33603, US | 400 EAST MARTIN LUTHER KING JR BLVD, SUITE 105, TAMPA, FL, 33603, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-239-9166 |
| Fax | 8132393011 |
Authorized person
| Name | DR. LUCIANO AUGUSTINE MARTINEZ JR. |
| Role | OWNER PRESIDENT |
| Phone | 8132399166 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | ME0032863 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 042377700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 064971600 |
| State | FL |
| Issuer | MEDICAID |
| Number | 374439600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, LUCIANO AJR.,MD | Agent | 2727 W. MARTIN LUTHER KING JR. BOULEVARD, SUITE 630, TAMPA, FL 33607 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, LUCIANO AJR.,MD | Director | 2727 W. MLK JR BLVD., SUITE 630, TAMPA, FL 33607 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, LUCIANO AJR.,MD | President | 2727 W. MLK JR BLVD., SUITE 630, TAMPA, FL 33607 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, LUCIANO AJR.,MD | Secretary | 2727 W. MLK JR BLVD., SUITE 630, TAMPA, FL 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-15 | 400 E. MARTIN LUTHER KING BLVD, SUITE 105, TAMPA, FL 33603 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-02-15 | MARTINEZ, LUCIANO AJR.,MD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-15 | 2727 W. MARTIN LUTHER KING JR. BOULEVARD, SUITE 630, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2011-02-15 | 400 E. MARTIN LUTHER KING BLVD, SUITE 105, TAMPA, FL 33603 | No data |
| REINSTATEMENT | 1996-10-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1996-08-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-02-15 |
| ANNUAL REPORT | 2010-04-06 |
| ANNUAL REPORT | 2009-03-25 |
| ANNUAL REPORT | 2008-04-24 |
| ANNUAL REPORT | 2007-01-18 |
| ANNUAL REPORT | 2006-02-20 |
| ANNUAL REPORT | 2005-03-04 |
| ANNUAL REPORT | 2004-07-07 |
| ANNUAL REPORT | 2003-04-14 |
| ANNUAL REPORT | 2002-02-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
