| Entity Name: | PRIMARY CARE PSYCHOLOGY, PLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PRIMARY CARE PSYCHOLOGY, PLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 05 May 2003 (22 years ago) |
| Document Number: | L03000016159 |
| FEI/EIN Number |
331055922
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6191 OLD COURT RD STE 806, BOCA RATON, FL, 33433, US |
| Mail Address: | 6135 ELMWOOD DR, ATTN: DR. CRISTIANO, BOCA RATON, FL, 33433, US |
| ZIP code: | 33433 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1962696955 | 2007-09-01 | 2008-01-04 | 1990 N FEDERAL HWY, SUITE C, POMPANO BEACH, FL, 330621032, US | 1990 N FEDERAL HWY, SUITE C, POMPANO BEACH, FL, 330621032, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-788-9399 |
| Fax | 9549054990 |
Authorized person
| Name | DR. MICHAEL CRISTIANO |
| Role | PSYCHOLOGIST |
| Phone | 9547889399 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY6322 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | PY6322 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | PY6322 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | PY6322 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | PY6322 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | PY6322 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Cristiano Michael Dr. | Manager | 1200 N FEDERAL HWY, BOCA RATON, FL, 334322813 |
| Cristiano Michael Dr. | Agent | 1200 N FEDERAL HWY, BOCA RATON, FL, 334322813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-12-18 | 6191 OLD COURT RD STE 806, BOCA RATON, FL 33433 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-13 | 6191 OLD COURT RD STE 806, BOCA RATON, FL 33433 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-13 | 1200 N FEDERAL HWY, SUITE 200, BOCA RATON, FL 33432-2813 | - |
| REGISTERED AGENT NAME CHANGED | 2013-03-28 | Cristiano, Michael, Dr. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-17 |
| ANNUAL REPORT | 2023-01-11 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-03-24 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5383817305 | 2020-04-30 | 0455 | PPP | 1200 N FEDERAL HWY SUITE 200, BOCA RATON, FL, 33432 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
