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 | |||||||||||||||||||||
|
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