| Entity Name: | PHYSICIANS CHOICE RESPIRATORY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 May 1996 (29 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 09 Oct 2001 (23 years ago) |
| Document Number: | P96000044186 |
| FEI/EIN Number | 650670790 |
| Address: | 6251 Chancellor Drive, Suite 119, Orlando, FL, 32809, US |
| Mail Address: | 6251 Chancellor Drive, Suite 119, Orlando, FL, 32809, US |
| ZIP code: | 32809 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467479337 | 2006-07-16 | 2024-02-26 | PO BOX 27968, SALT LAKE CITY, UT, 841270968, US | 7231 HAVERHILL BUSINESS PKWY STE 210, RIVIERA BEACH, FL, 334071012, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-750-6622 |
| Fax | 5618344425 |
Authorized person
| Name | MRS. ROBIN L MENCHEN |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 4078224600 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 1312110 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 115648100 |
| State | FL |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Menchen Robin | President | 6251 Chancellor Drive, Suite 119, Orlando, FL, 32809 |
| Name | Role | Address |
|---|---|---|
| Phan Nam | Chief Financial Officer | 6251 Chancellor Drive, Suite 119, Orlando, FL, 32809 |
| Name | Role | Address |
|---|---|---|
| Burres Steven B | Secretary | 6251 Chancellor Drive, Suite 119, Orlando, FL, 32809 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000094535 | ROTECH | ACTIVE | 2023-08-14 | 2028-12-31 | No data | 6251 CHANCELLOR DRIVE SUITE 119, ORLANDO, FL, 32809 |
| G23000079436 | ROTECH | ACTIVE | 2023-07-05 | 2028-12-31 | No data | 3600 VINELAND ROAD, SUITE 114, ORLANDO, FL, 32811 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-24 | 6251 Chancellor Drive, Suite 119, Orlando, FL 32809 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-24 | 6251 Chancellor Drive, Suite 119, Orlando, FL 32809 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-11-01 | NRAI SERVICES, INC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-11-01 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| AMENDMENT | 2001-10-09 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| AMENDED ANNUAL REPORT | 2023-09-13 |
| ANNUAL REPORT | 2023-04-28 |
| AMENDED ANNUAL REPORT | 2022-11-01 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
