| Entity Name: | MEDI-FLO CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Dec 1998 (26 years ago) |
| Document Number: | P98000101718 |
| FEI/EIN Number | 650888622 |
| Address: | 2028 NW 141 AVENUE, PEMBROKE PINES, FL, 33028, US |
| Mail Address: | 2028 NW 141 AVENUE, PEMBROKE PINES, FL, 33028, US |
| ZIP code: | 33028 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730225749 | 2007-01-29 | 2009-01-18 | 2028 NW 141ST AVE, PEMBROKE PINES, FL, 330282853, US | 2028 NW 141ST AVE, PEMBROKE PINES, FL, 330282853, US | |||||||||||||||||||||
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| Phone | +1 954-704-4440 |
| Fax | 9547044470 |
Authorized person
| Name | MS. FLO WILLIAMS |
| Role | PRESIDENT |
| Phone | 9547044440 |
Taxonomy
| Taxonomy Code | 2279H0200X - Home Health Registered Respiratory Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 884967600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WILLIAMS FLO | Agent | 2028 NW 141 AVENUE, PEMBROKE PINES, FL, 33028 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS FLO | President | 2028 NW 141 AVENUE, PEMBROKE PINES, FL, 33028 |
| Name | Role | Address |
|---|---|---|
| JONES JODY | Officer | 2028 NW 141 AVENUE, PEMBROKE PINES, FL, 33028 |
| Williams Richard | Officer | 2028 NW 141 AVENUE, PEMBROKE PINES, FL, 33028 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
