| Entity Name: | CLINICARE MEDICAL RESOURCES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Jan 1996 (29 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Sep 2017 (7 years ago) |
| Document Number: | P96000005423 |
| FEI/EIN Number | 59-3351873 |
| Address: | 9245 LAZY LANE, TAMPA, FL 33614 |
| Mail Address: | 9245 LAZY LANE, TAMPA, FL 33614 |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770655607 | 2006-11-15 | 2023-05-04 | 9245 LAZY LN, TAMPA, FL, 336141595, US | 171 US HIGHWAY 98, SUITE F, EASTPOINT, FL, 323283313, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-935-1341 |
| Fax | 8139358770 |
| Phone | +1 850-670-5555 |
| Fax | 8506705559 |
Authorized person
| Name | MR. STEPHEN ALLEN PRICE |
| Role | PRESIDENT |
| Phone | 8139351341 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | HME 1103 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | HME 1103 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| License Number | ORF 167 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 108079500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PRICE, STEPHEN A | Agent | 9245 LAZY LN, TAMPA, FL 33614 |
| Name | Role | Address |
|---|---|---|
| PRICE, STEPHEN A | President | 9245 LAZY LN, TAMPA, FL 33614 |
| Name | Role | Address |
|---|---|---|
| PRICE, STEPHEN A | Treasurer | 9245 LAZY LN, TAMPA, FL 33614 |
| Name | Role | Address |
|---|---|---|
| PRICE, MARY P | Vice President | 9245 LAZY LN, TAMPA, FL 33614 |
| Name | Role | Address |
|---|---|---|
| PRICE, MARY P | Secretary | 9245 LAZY LN, TAMPA, FL 33614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000038623 | TAMPA MEDICAL SUPPLY | ACTIVE | 2020-04-06 | 2025-12-31 | No data | 9245 LAZY LANE, TAMPA, FL, 33614 |
| G00312900307 | CLINICARE HOME MEDICAL | ACTIVE | 2000-11-07 | 2025-12-31 | No data | 9245 LAZY LANE, TAMPA, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-11 | 9245 LAZY LANE, TAMPA, FL 33614 | No data |
| CHANGE OF MAILING ADDRESS | 2020-05-11 | 9245 LAZY LANE, TAMPA, FL 33614 | No data |
| REINSTATEMENT | 2017-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-09-27 | PRICE, STEPHEN A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-09-27 | 9245 LAZY LN, TAMPA, FL 33614 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-05-11 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-01-09 |
| REINSTATEMENT | 2017-09-27 |
| ANNUAL REPORT | 2016-03-15 |
| ANNUAL REPORT | 2015-03-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
