| Entity Name: | COORDINATED PATIENT CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 May 1997 (28 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P97000043848 |
| FEI/EIN Number | 650800127 |
| Address: | 4100 S HOSPITAL DRIVE, SUITE 209, FORT LAUDERDALE, FL, 33317 |
| Mail Address: | 4100 S HOSPITAL DRIVE, SUITE 209, FORT LAUDERDALE, FL, 33317 |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396769071 | 2006-07-27 | 2020-08-22 | 4100 S HOSPITAL DR, SUITE 209, PLANTATION, FL, 333172813, US | 4100 S HOSPITAL DR, SUITE 209, PLANTATION, FL, 333172813, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 954-587-5857 |
| Fax | 9545875807 |
Authorized person
| Name | DR. MAXINE EULALEE HAMILTON |
| Role | PRESIDENT |
| Phone | 9544633804 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 25345250 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HALL W. EARL E | Agent | 633 SOUTH FEDERAL HIGHWAY, FT LAUDERDALE, FL, 33302 |
| Name | Role | Address |
|---|---|---|
| HAMILTON MAXINE | President | 10721 LONDON ST, COOPER CITY, FL, 33026 |
| Name | Role | Address |
|---|---|---|
| HAMILTON MAXINE | Vice President | 10721 LONDON ST, COOPER CITY, FL, 33026 |
| Name | Role | Address |
|---|---|---|
| HAMILTON MAXINE | Secretary | 10721 LONDON ST, COOPER CITY, FL, 33026 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2003-04-28 | 633 SOUTH FEDERAL HIGHWAY, EIGHTH FLOOR, FT LAUDERDALE, FL 33302 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-04-28 | 4100 S HOSPITAL DRIVE, SUITE 209, FORT LAUDERDALE, FL 33317 | No data |
| CHANGE OF MAILING ADDRESS | 2003-04-28 | 4100 S HOSPITAL DRIVE, SUITE 209, FORT LAUDERDALE, FL 33317 | No data |
| REGISTERED AGENT NAME CHANGED | 2003-04-28 | HALL, W. EARL ESQ. | No data |
| REINSTATEMENT | 2002-09-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
| NAME CHANGE AMENDMENT | 1997-11-21 | COORDINATED PATIENT CARE, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-04-17 |
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-04-26 |
| ANNUAL REPORT | 2004-04-27 |
| ANNUAL REPORT | 2003-04-28 |
| REINSTATEMENT | 2002-09-05 |
| ANNUAL REPORT | 2000-05-24 |
| ANNUAL REPORT | 1999-03-09 |
| ANNUAL REPORT | 1998-08-06 |
| Name Change | 1997-11-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
