| Entity Name: | PRIMARY CARE SOUTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| 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: | 30 Oct 2017 (7 years ago) |
| Branch of: | PRIMARY CARE SOUTH, INC., ALABAMA (Company Number 000-402-916) |
| Document Number: | F17000004936 |
| FEI/EIN Number |
82-2628311
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5551 U S Hwy 98, Santa Rosa Beach, FL, 32459, US |
| Mail Address: | 5551 U S Hwy 98, Santa Rosa Beach, FL, 32459, US |
| ZIP code: | 32459 |
| County: | Walton |
| Place of Formation: | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093356685 | 2019-10-04 | 2022-10-10 | 5551 US HIGHWAY 98, SANTA ROSA BEACH, FL, 32459, US | 5551 US HIGHWAY 98, SANTA ROSA BEACH, FL, 32459, US | |||||||||||||||||||||
|
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| Phone | +1 850-420-5420 |
| Fax | 8502448011 |
Authorized person
| Name | KIMMIE HUNTER |
| Role | CREDENTIAL |
| Phone | 8504205420 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104684300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATTON MICHAEL T | Director | 328 HIGHLAND VIEW DR, BIRMINGHAM, AL, 35242 |
| PATTON MICHAEL T | President | 328 HIGHLAND VIEW DR, BIRMINGHAM, AL, 35242 |
| PATTON MICHAEL T | Treasurer | 328 HIGHLAND VIEW DR, BIRMINGHAM, AL, 35242 |
| PATTON AMANDA T | Director | 328 HIGHLAND VIEW DR, BIRMINGHAM, AL, 35242 |
| PATTON AMANDA T | Secretary | 328 HIGHLAND VIEW DR, BIRMINGHAM, AL, 35242 |
| LINNE WILLIAM V | Agent | 17 W CEDAR ST, SUITE 3, PENSACOLA, FL, 32502 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-28 | 5551 U S Hwy 98, Santa Rosa Beach, FL 32459 | - |
| CHANGE OF MAILING ADDRESS | 2022-01-28 | 5551 U S Hwy 98, Santa Rosa Beach, FL 32459 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-06 |
| ANNUAL REPORT | 2023-01-30 |
| AMENDED ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-16 |
| Foreign Profit | 2017-09-27 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
