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MEDICOR HEALTHCHOICE, INC. - Florida Company Profile

Company Details

Entity Name: MEDICOR HEALTHCHOICE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

MEDICOR HEALTHCHOICE, 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: 14 Jun 1994 (31 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 30 Oct 2024 (6 months ago)
Document Number: P94000044236
FEI/EIN Number 650513852

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2200 NW 102ND AVE STE 2B, MIAMI, FL, 33172, US
Mail Address: P.O. BOX 226994, MIAMI, FL, 33222, US
ZIP code: 33172
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730189523 2005-07-22 2023-03-10 2200 NW 102 AVENUE SUITE 2B, DORAL, FL, 331722225, US 2200 NW 102 AVENUE SUITE 2B, DORAL, FL, 331722225, US

Contacts

Phone +1 800-250-4468
Fax 8886144949

Authorized person

Name MR. JACK A MARQUEZ
Role VICE PRESIDENT
Phone 8002504468

Taxonomy

Taxonomy Code 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
License Number HME051
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 682074300
State FL
Issuer MEDICAID
Number 951866500
State FL
Issuer PHARMACY LICENSE
Number PH26071
State FL
Issuer AHCA
Number HME051
State FL
Issuer PHARMACY LICENSE
Number PH26070
State FL

Key Officers & Management

Name Role Address
MARQUEZ JACK Vice President P.O. BOX 226994, MIAMI, FL, 33222
ALLEN DELL, PA Agent 202 S ROME AVE, TAMPA, FL, 33606

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000034115 COBRA PHARMACY + MEDICAL EQUIPMENT AND SUPPLIES EXPIRED 2012-04-10 2017-12-31 - 10825 NW 17 STREET, SUITE 105, MIAMI, FL, 33172
G12000003452 COBRA MEDICAL EQUIPMENT PLUS PHARMACY EXPIRED 2012-01-10 2017-12-31 - 10825 NW 17 STREET, SUITE 105, MIAMI, FL, 33172
G11000063342 COBRA MEDICAL EXPIRED 2011-06-23 2016-12-31 - 2351 NW 93 AVENUE, DORAL, FL, 33172
G11000062772 COBRA MEDICAL SUPPLIES EXPIRED 2011-06-21 2016-12-31 - 2351 NW 93 AVENUE, MIAMI, FL, 33172

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-10-30 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
CHANGE OF MAILING ADDRESS 2023-04-24 2200 NW 102ND AVE STE 2B, MIAMI, FL 33172 -
CHANGE OF PRINCIPAL ADDRESS 2023-04-24 2200 NW 102ND AVE STE 2B, MIAMI, FL 33172 -
REGISTERED AGENT ADDRESS CHANGED 2015-05-18 202 S ROME AVE, TAMPA, FL 33606 -
REGISTERED AGENT NAME CHANGED 2015-05-18 ALLEN DELL, PA -
NAME CHANGE AMENDMENT 2013-05-31 MEDICOR HEALTHCHOICE, INC. -
AMENDMENT 2013-05-30 - -
AMENDMENT 1996-07-31 - -

Documents

Name Date
REINSTATEMENT 2024-10-30
AMENDED ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2023-03-15
ANNUAL REPORT 2022-05-01
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-22
ANNUAL REPORT 2018-04-10
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-04-15

Date of last update: 02 Apr 2025

Sources: Florida Department of State