| Entity Name: | PROXYCARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PROXYCARE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 13 Apr 1994 (31 years ago) |
| Document Number: | P94000028076 |
| FEI/EIN Number |
650481978
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 747 SHOTGUN RD, SUNRISE, FL, 33326, US |
| Mail Address: | 747 SHOTGUN RD, SUNRISE, FL, 33326, US |
| ZIP code: | 33326 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932145497 | 2006-06-22 | 2019-09-09 | 747 SHOTGUN ROAD, SUNRISE, FL, 333261934, US | 747 SHOTGUN ROAD, SUNRISE, FL, 333261934, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 954-791-5400 |
| Fax | 9547915100 |
Authorized person
| Name | MR. LUIS ALBERTO CRUZ |
| Role | CEO |
| Phone | 9547915400 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH12946 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022228300 |
| State | FL |
| Issuer | PK |
| Number | 2011819 |
| Name | Role | Address |
|---|---|---|
| CRUZ LUIS A | Chief Executive Officer | 747 SHOTGUN RD, SUNRISE, FL, 33326 |
| KLEIN TED E | Agent | 8030 PETERS ROAD, PLANTATION, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-01-11 | 747 SHOTGUN RD, SUNRISE, FL 33326 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-05-02 | 747 SHOTGUN RD, SUNRISE, FL 33326 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-01-05 | 8030 PETERS ROAD, BUILDING D SUITE 104, PLANTATION, FL 33324 | - |
| REGISTERED AGENT NAME CHANGED | 2000-04-10 | KLEIN, TED ESQ. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-01-05 |
| ANNUAL REPORT | 2021-01-09 |
| ANNUAL REPORT | 2020-01-03 |
| ANNUAL REPORT | 2019-01-11 |
| ANNUAL REPORT | 2018-01-04 |
| ANNUAL REPORT | 2017-01-05 |
| ANNUAL REPORT | 2016-01-07 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
