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PRIMECARE AT TWIN LAKES, LLC - Florida Company Profile

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Company Details

Entity Name: PRIMECARE AT TWIN LAKES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Nov 2002 (23 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 17 Aug 2005 (20 years ago)
Document Number: L02000029173
FEI/EIN Number 450527284
Address: 1890 LPGA Blvd, Daytona Beach, FL, 32117, US
Mail Address: 1890 LPGA Blvd, Daytona Beach, FL, 32117, US
ZIP code: 32117
City: Daytona Beach
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Managing Member -
DUVA CHARLES D Agent 1890 LPGA Blvd, Daytona Beach, FL, 32117

National Provider Identifier

NPI Number:
1154601706

Authorized Person:

Name:
CHARLES D DUVA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3862741508

Fictitious Names

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 - 1327 SAXON DRIVE, NEW SMYRNA BEACH, FL, 32169

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-03-30 1890 LPGA Blvd, Suite 130, Daytona Beach, FL 32117 -
CHANGE OF MAILING ADDRESS 2022-03-30 1890 LPGA Blvd, Suite 130, Daytona Beach, FL 32117 -
REGISTERED AGENT ADDRESS CHANGED 2022-03-30 1890 LPGA Blvd, Suite 130, Daytona Beach, FL 32117 -
REGISTERED AGENT NAME CHANGED 2011-01-17 DUVA, CHARLES DM.D. -
NAME CHANGE AMENDMENT 2005-08-17 PRIMECARE AT TWIN LAKES, LLC -

Documents

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

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Date of last update: 01 Aug 2025

Sources: Florida Department of State