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PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. - Florida Company Profile

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Company Details

Entity Name: PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 07 Jun 1977 (48 years ago)
Date of dissolution: 13 Jun 2012 (13 years ago)
Last Event: CONVERSION
Event Date Filed: 13 Jun 2012 (13 years ago)
Document Number: 536531
FEI/EIN Number 591757296

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: CAPRICCIO PLAZA, 2488 N. UNIVERSITY DR, PEMBROKE PINES, FL, 33024, US
Mail Address: CAPRICCIO PLAZA, 2488 N. UNIVERSITY DR, PEMBROKE PINES, FL, 33024, US
ZIP code: 33024
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PAUL SALVER Agent 2721 EXECUTIVE PARK DRIVE, WESTON, FL, 33331
ISSA MOISES M Director CAPRICCIO PLAZA, 2488 N. UNIVERSITY DR, PEMBROKE PINES, FL, 33024
FERNANDEZ-BLAY ROBERTO C Director 2488 N. UNIVERSITY DR., PEMBROKE PINES, FL, 33024

National Provider Identifier

NPI Number:
1457841017
Certification Date:
2022-12-14

Authorized Person:

Name:
DR. MOISES ISSA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9549831152

Form 5500 Series

Employer Identification Number (EIN):
591757296
Plan Year:
2016
Number Of Participants:
39
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
56
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
39
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
52
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CONVERSION 2012-06-13 - CONVERSION MEMBER. RESULTING CORPORATION WAS L12000089677. CONVERSION NUMBER 700000123907
REINSTATEMENT 2010-10-01 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -
AMENDMENT 2009-09-28 - -
CHANGE OF PRINCIPAL ADDRESS 2009-01-07 CAPRICCIO PLAZA, 2488 N. UNIVERSITY DR, PEMBROKE PINES, FL 33024 -
CHANGE OF MAILING ADDRESS 2009-01-07 CAPRICCIO PLAZA, 2488 N. UNIVERSITY DR, PEMBROKE PINES, FL 33024 -
AMENDMENT 2007-05-23 - -
REGISTERED AGENT ADDRESS CHANGED 2004-11-19 2721 EXECUTIVE PARK DRIVE, SUITE 4, WESTON, FL 33331 -
CANCEL ADM DISS/REV 2004-11-19 - -
NAME CHANGE AMENDMENT 2004-11-19 PRIMARY CARE PHYSICIANS OF HOLLYWOOD, P.A. -

Documents

Name Date
ANNUAL REPORT 2012-02-01
ANNUAL REPORT 2011-03-07
REINSTATEMENT 2010-10-01
Amendment 2009-09-28
ANNUAL REPORT 2009-01-07
ANNUAL REPORT 2008-03-05
ANNUAL REPORT 2007-08-10
Amendment 2007-05-23
ANNUAL REPORT 2006-04-20
ANNUAL REPORT 2005-02-28

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Date of last update: 01 Jul 2025

Sources: Florida Department of State