| Entity Name: | PRIMECARE AT TWIN LAKES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Nov 2002 (22 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 17 Aug 2005 (19 years ago) |
| Document Number: | L02000029173 |
| FEI/EIN Number | 45-0527284 |
| Address: | 1890 LPGA Blvd, Suite 130, Daytona Beach, FL 32117 |
| Mail Address: | 1890 LPGA Blvd, Suite 130, Daytona Beach, FL 32117 |
| ZIP code: | 32117 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154601706 | 2011-08-26 | 2011-08-26 | 1890 LPGA BLVD, SUITE 130, DAYTONA BEACH, FL, 321177130, US | 1890 LPGA BLVD, SUITE 130, DAYTONA BEACH, FL, 321177130, US | |||||||||||||||||||
|
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| Phone | +1 386-274-2212 |
| Fax | 3862741508 |
Authorized person
| Name | CHARLES D DUVA |
| Role | PRESIDENT |
| Phone | 3862747800 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | 10699 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DUVA, CHARLES DM.D. | Agent | 1890 LPGA Blvd, Suite 130, Daytona Beach, FL 32117 |
| Name | Role |
|---|---|
| PRIMECARE ACQUISITION, INC. | Managing Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000074808 | PRIMECARE AT NEW SMYRNA BEACH | ACTIVE | 2019-07-09 | 2029-12-31 | No data | 1327 SAXON DRIVE, NEW SMYRNA BEACH, FL, 32169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-30 | 1890 LPGA Blvd, Suite 130, Daytona Beach, FL 32117 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-30 | 1890 LPGA Blvd, Suite 130, Daytona Beach, FL 32117 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-30 | 1890 LPGA Blvd, Suite 130, Daytona Beach, FL 32117 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-01-17 | DUVA, CHARLES DM.D. | No data |
| NAME CHANGE AMENDMENT | 2005-08-17 | PRIMECARE AT TWIN LAKES, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-03-06 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-02-23 |
| ANNUAL REPORT | 2017-03-01 |
| ANNUAL REPORT | 2016-03-10 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
