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CENTERWELL SENIOR PRIMARY CARE (FL), INC. - Florida Company Profile

Company Details

Entity Name: CENTERWELL SENIOR PRIMARY CARE (FL), INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CENTERWELL SENIOR PRIMARY CARE (FL), INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 18 Aug 1992 (33 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 05 Feb 2021 (4 years ago)
Document Number: V58206
FEI/EIN Number 59-3164234

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 500 West Main Street, Louisville, KY, 40202, US
Mail Address: 500 West Main Street, Louisville, KY, 40202, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1487481875 2024-09-18 2024-09-18 6101 BLUE LAGOON DR STE 200, MIAMI, FL, 331263168, US 1471B E OSCEOLA PKWY, KISSIMMEE, FL, 347441604, US

Contacts
Phone +1 305-500-2000

Authorized person
Name ANGIE MARTINEZ
Role SENIOR CREDENTIALING PROFESSIONAL
Phone 4074477120

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes
Taxonomy Code 208D00000X - General Practice Physician
Is Primary No

Key Officers & Management

Name Role Address
Diamond Susan M Director 500 West Main Street, Louisville, KY, 40202
Buckingham Renee J Director 500 West Main Street, Louisville, KY, 40202
Ruschell Joseph M Director 500 West Main Street, Louisville, KY, 40202
Adkins Matt Vice President 500 West Main Street, Louisville, KY, 40202
Feld Daniel K Asso 500 West Main Street, Louisville, KY, 40202
Edwards Douglas M Seni 500 West Main Street, Louisville, KY, 40202
C T CORPORATION SYSTEM Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000154214 CENTERWELL SENIOR PRIMARY CARE OF AZALEA ACTIVE 2024-12-19 2029-12-31 - 500 WEST MAIN STREET, LOUISVILLE, KY, 40202
G24000137548 CENTERWELL SENIOR PRIMARY CARE OF GATEWAY STATION ACTIVE 2024-11-11 2029-12-31 - 500 WEST MAIN STREET, LOUISVILLE, KY, 40202
G24000054229 CENTERWELL SENIOR PRIMARY CARE OF SOUTHCHASE ACTIVE 2024-04-24 2029-12-31 - 500 WEST MAIN STREET, LOUISVILLE, KY, 40202
G21000150253 CENTERWELL SENIOR PRIMARY CARE OF ALAFAYA ACTIVE 2021-11-09 2026-12-31 - 815 WOODBURY ROAD SUITE 104, ORLANDO, FL, 32828
G21000150255 CENTERWELL SENIOR PRIMARY CARE OF NORTH CENTRAL ACTIVE 2021-11-09 2026-12-31 - 309 W. BASS ST., KISSIMMEE, FL, 34741
G21000139020 CENTERWELL SENIOR PRIMARY CARE OF WEST ORANGE ACTIVE 2021-10-15 2026-12-31 - 500 WEST MAIN STREET, LOUISVILLE, KY, 40202
G21000120151 CENTERWELL WEST ORANGE ACTIVE 2021-09-16 2026-12-31 - 500 WEST MAIN STREET, LOUISVILLE, KY, 40202
G21000028781 CENTERWELL SENIOR PRIMARY CARE OF WINTER PARK ACTIVE 2021-03-01 2026-12-31 - 500 WEST MAIN STREET, LOUISVILLE, KY, 40202
G21000028779 CENTERWELL SENIOR PRIMARY CARE OF WEST VINE ACTIVE 2021-03-01 2026-12-31 - 500 WEST MAIN STREET, LOUISVILLE, KY, 40202
G21000028774 CENTERWELL SENIOR PRIMARY CARE OF PINE HILLS ACTIVE 2021-03-01 2026-12-31 - 500 WEST MAIN STREET, LOUISVILLE, KY, 40202

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-12 500 West Main Street, Louisville, KY 40202 -
CHANGE OF MAILING ADDRESS 2024-03-12 500 West Main Street, Louisville, KY 40202 -
REGISTERED AGENT ADDRESS CHANGED 2022-08-03 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33332 -
REGISTERED AGENT NAME CHANGED 2022-08-03 C T CORPORATION SYSTEM -
NAME CHANGE AMENDMENT 2021-02-05 CENTERWELL SENIOR PRIMARY CARE (FL), INC. -
NAME CHANGE AMENDMENT 2020-11-17 CENTERWELL PRIMARY CARE (FL), INC. -
AMENDMENT 2017-01-05 - -
NAME CHANGE AMENDMENT 2016-12-16 FAMILY PHYSICIANS OF WINTER PARK, INC. -
MERGER 2009-12-28 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 4. MERGER NUMBER 500000102165

Documents

Name Date
AMENDED ANNUAL REPORT 2024-11-11
AMENDED ANNUAL REPORT 2024-09-17
ANNUAL REPORT 2024-03-12
ANNUAL REPORT 2023-05-01
Reg. Agent Change 2022-08-03
ANNUAL REPORT 2022-04-19
ANNUAL REPORT 2021-04-29
Name Change 2021-02-05
Name Change 2020-11-17
ANNUAL REPORT 2020-01-21

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Diamond Susan M

COMPLEX CLINICAL MANAGEMENT, INC. - Active
Domestic Profit (2011 )
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Domestic Profit (1990 )
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Buckingham Renee J

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Ruschell Joseph M

COMPLEX CLINICAL MANAGEMENT, INC. - Active
Domestic Profit (2011 )
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Foreign Profit (1997 )
CENTERWELL PHARMACY, INC. - Active
Foreign Profit (1997 )
HUMANA AT HOME 1, INC. - Active
Domestic Profit (1990 )
CENTERWELL HOME HEALTH SERVICES, LLC - Inactive
Foreign Limited Liability Co. (2014 - 2024)
CENTERWELL HOME HEALTH SERVICES, LLC - Inactive
Foreign Limited Liability Co. (2014 - 2024)
HUMANA MEDICAL PLAN, INC. - Active
Domestic Profit (1986 )
HOMECARE HOLDINGS, INC. - Active
Domestic Profit (1998 )
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Foreign Profit (2008 - 2024)
HUMANA REAL ESTATE COMPANY - Active
Foreign Profit (2017 )

Adkins Matt

CONVIVA GROUP HOLDINGS, LLC - Active
Foreign Limited Liability Co. (2006 )
GOLDEN LAKES PLAZA PROPERTY OWNERS ASSOCIATION, INC. - Active
Domestic Non-Profit (1978 )
CONVIVA CARE SOLUTIONS, LLC - Active
Foreign Limited Liability Co. (2017 )
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Feld Daniel K

COMPLEX CLINICAL MANAGEMENT, INC. - Active
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HUMANA AT HOME 1, INC. - Active
Domestic Profit (1990 )
TRANSCEND POPULATION HEALTH MANAGEMENT II, LLC - Inactive
Foreign Limited Liability Co. (2018 - 2024)
HOMECARE HOLDINGS, INC. - Active
Domestic Profit (1998 )
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Foreign Profit (1977 )
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Edwards Douglas M

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C T CORPORATION SYSTEM

BRENKA VIDEO US INC. - Inactive
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Companies related by address

500 West Main Street, Louisville, KY, 40202, US

ALTERCARE OF PALM BEACH COUNTY, LLC HUMANA ACTIVE OUTLOOK, INC. BALANCED HOME HEALTHCARE, INC. AMICUS MEDICAL SERVICES ORGANIZATION, LLC HUMANA HEALTHCARE RESEARCH, INC. CARE HOPE HOME HEALTH AGENCY INC ALL ABOUT HOME CARE MANAGEMENT, LLC HUMANA PHARMACY SOLUTIONS, INC. ACCREDITED HOME HEALTH CARE OF BROWARD, INC. QUALITY LIVING HOME HEALTH CARE LLC

500 West Main Street, Louisville, KY, 40202, US

ALTERCARE OF PALM BEACH COUNTY, LLC HUMANA ACTIVE OUTLOOK, INC. BALANCED HOME HEALTHCARE, INC. AMICUS MEDICAL SERVICES ORGANIZATION, LLC HUMANA HEALTHCARE RESEARCH, INC. CARE HOPE HOME HEALTH AGENCY INC ALL ABOUT HOME CARE MANAGEMENT, LLC HUMANA PHARMACY SOLUTIONS, INC. ACCREDITED HOME HEALTH CARE OF BROWARD, INC. QUALITY LIVING HOME HEALTH CARE LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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