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  5. PRIME HEALTH OF NORTH PORT, LLC

PRIME HEALTH OF NORTH PORT, LLC - Florida Company Profile

Company Details

Entity Name: PRIME HEALTH OF NORTH PORT, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PRIME HEALTH OF NORTH PORT, LLC 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
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: 04 Mar 2004 (21 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 08 Nov 2021 (3 years ago)
Document Number: L04000017407
FEI/EIN Number 200825333

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL, 34288, US
Mail Address: 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL, 34288, US
ZIP code: 34288
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740228386 2006-06-04 2011-09-27 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL, 342884600, US 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL, 342884600, US

Contacts
Phone +1 941-423-9936
Fax 9414269794

Authorized person
Name LEE GROSS
Role OWNER
Phone 9414239936

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME84648
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIME HEALTH OF NORTH PORT RETIREMENT PLAN 2023 200825333 2024-07-20 PRIME HEALTH OF NORTH PORT, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 9414239936
Plan sponsor’s address 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL, 342888661

Signature of
Role Plan administrator
Date 2024-07-20
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-20
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
PRIME HEALTH OF NORTH PORT RETIREMENT PLAN 2022 200825333 2023-07-09 PRIME HEALTH OF NORTH PORT, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 9414239936
Plan sponsor’s address 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL, 342888661

Signature of
Role Plan administrator
Date 2023-07-09
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-09
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
PRIME HEALTH OF NORTH PORT RETIREMENT PLAN 2021 200825333 2022-10-05 PRIME HEALTH OF NORTH PORT, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 9414239936
Plan sponsor’s address 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL, 342888661

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-05
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
PRIME HEALTH OF NORTH PORT RETIREMENT PLAN 2020 200825333 2021-07-18 PRIME HEALTH OF NORTH PORT, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 9414239936
Plan sponsor’s address 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL, 342888661

Signature of
Role Plan administrator
Date 2021-07-18
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-18
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
PRIME HEALTH OF NORTH PORT RETIREMENT PLAN 2019 200825333 2020-05-24 PRIME HEALTH OF NORTH PORT, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 9414239936
Plan sponsor’s address 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL, 342888661

Signature of
Role Plan administrator
Date 2020-05-24
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-24
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
PRIME HEALTH OF NORTH PORT RETIREMENT PLAN 2018 200825333 2019-07-05 PRIME HEALTH OF NORTH PORT, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 9414239936
Plan sponsor’s address 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL, 342888661

Signature of
Role Plan administrator
Date 2019-07-05
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-05
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
PRIME HEALTH OF NORTH PORT RETIREMENT PLAN 2017 200825333 2018-06-25 PRIME HEALTH OF NORTH PORT, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 9414239936
Plan sponsor’s address 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL, 342888661

Signature of
Role Plan administrator
Date 2018-06-25
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-25
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
PRIME HEALTH OF NORTH PORT RETIREMENT PLAN 2016 200825333 2017-06-15 PRIME HEALTH OF NORTH PORT, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 9414239936
Plan sponsor’s address 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL, 342888661

Signature of
Role Plan administrator
Date 2017-06-15
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-15
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
PRIME HEALTH OF NORTH PORT RETIREMENT PLAN 2015 200825333 2016-07-15 PRIME HEALTH OF NORTH PORT, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 9414239936
Plan sponsor’s address 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL, 342888661

Signature of
Role Plan administrator
Date 2016-07-15
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-15
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
PRIME HEALTH OF NORTH PORT RETIREMENT PLAN 2014 200825333 2015-07-06 PRIME HEALTH OF NORTH PORT, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-06-01
Business code 621111
Sponsor’s telephone number 9414239936
Plan sponsor’s address 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL, 342888661

Signature of
Role Plan administrator
Date 2015-07-06
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-06
Name of individual signing JANICE GROSS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
GROSS LEE SMD Managing Member 132 COLONIAL ST SW, PORT CHARLOTTE, FL, 33952
CROUCH WILLIAM LIV, M.D Authorized Member 2401 ISLE OF PALM DR., VENICE, FL, 34292
GROSS LEE S Agent 2975 BOBCAT VILLAGE CENTER RD, NORTH PORT, FL, 34288

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000128064 EPIPHANY HEALTH ACTIVE 2018-12-04 2028-12-31 - 132 COLONIAL STREET SW, SUITE100, PORT CHARLOTTE, US, 33952

Events

Event Type Filed Date Value Description
LC AMENDMENT 2021-11-08 - -
REGISTERED AGENT ADDRESS CHANGED 2015-04-17 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL 34288 -
CHANGE OF PRINCIPAL ADDRESS 2010-04-01 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL 34288 -
CHANGE OF MAILING ADDRESS 2010-04-01 2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL 34288 -
REGISTERED AGENT NAME CHANGED 2005-04-14 GROSS, LEE S -

Documents

Name Date
ANNUAL REPORT 2024-04-06
ANNUAL REPORT 2023-04-23
ANNUAL REPORT 2022-04-22
LC Amendment 2021-11-08
ANNUAL REPORT 2021-03-28
ANNUAL REPORT 2020-05-05
ANNUAL REPORT 2019-04-13
ANNUAL REPORT 2018-04-15
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-04-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5550887106 2020-04-13 0455 PPP 2975 bobcat village center rd Ste 100, NORTH PORT, FL, 34288-4600
Loan Status Date 2021-03-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 54900
Loan Approval Amount (current) 54900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address NORTH PORT, SARASOTA, FL, 34288-4600
Project Congressional District FL-17
Number of Employees 8
NAICS code 621999
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 55354.45
Forgiveness Paid Date 2021-02-23

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Companies related by address

2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL, 34288, US

PHNP MANAGEMENT, LLC

2975 BOBCAT VILLAGE CENTER RD, SUITE 100, NORTH PORT, FL, 34288, US

PHNP MANAGEMENT, LLC

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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