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PRIME HEALTH OF NORTH PORT, LLC - Florida Company Profile

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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 (4 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

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

National Provider Identifier

NPI Number:
1740228386

Authorized Person:

Name:
LEE GROSS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9414269794

Form 5500 Series

Employer Identification Number (EIN):
200825333
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:

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

USAspending Awards / Financial Assistance

Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
54900.00
Total Face Value Of Loan:
54900.00

Paycheck Protection Program

Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
54900
Current Approval Amount:
54900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
55354.45

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Date of last update: 02 Jun 2025

Sources: Florida Department of State