Entity Name: | MEDI-HEALTH-CARE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 30 Aug 1990 (34 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 17 Dec 2003 (21 years ago) |
Document Number: | S00575 |
FEI/EIN Number | 59-3034359 |
Address: | 401 Bartow Rd, LAKELAND, FL 33801 |
Mail Address: | 401 bartow rd, LAKELAND, FL 33801 |
ZIP code: | 33801 |
County: | Polk |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1467457838 | 2005-06-14 | 2011-05-17 | 401 BARTOW RD, LAKELAND, FL, 338015461, US | 401 BARTOW RD, LAKELAND, FL, 338015461, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 863-686-0300 |
Authorized person
Name | MR. ROBERT SLAMA |
Role | PRESIDENT |
Phone | 8636860300 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
License Number | 964 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | UNITED HEALTHCARE |
Number | 1028132 |
State | FL |
Issuer | AMERIGROUP |
Number | 227395 |
State | FL |
Issuer | BLUE CROSS/BLUE SHIELD |
Number | R4465 |
State | FL |
Issuer | US DEPARTMENT OF LABOR |
Number | 229271100 |
State | FL |
Issuer | MEDICAID |
Number | 027182900 |
State | FL |
Name | Role | Address |
---|---|---|
SLAMA, ROBERT | Agent | 401 Bartow Rd, LAKELAND, FL 33801 |
Name | Role | Address |
---|---|---|
SLAMA, ROBERT | President | 2509 TAHOE DR, LAKELAND, FL 33805 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2020-01-20 | 401 Bartow Rd, LAKELAND, FL 33801 | No data |
CHANGE OF MAILING ADDRESS | 2020-01-20 | 401 Bartow Rd, LAKELAND, FL 33801 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2020-01-20 | 401 Bartow Rd, LAKELAND, FL 33801 | No data |
REINSTATEMENT | 2003-12-17 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2000-03-06 | SLAMA, ROBERT | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-06 |
ANNUAL REPORT | 2023-01-25 |
ANNUAL REPORT | 2022-02-01 |
ANNUAL REPORT | 2021-02-01 |
ANNUAL REPORT | 2020-01-20 |
ANNUAL REPORT | 2019-04-11 |
ANNUAL REPORT | 2018-01-16 |
ANNUAL REPORT | 2017-02-10 |
ANNUAL REPORT | 2016-01-25 |
ANNUAL REPORT | 2015-01-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State