| Entity Name: | PRIMECARE HOSPITALIST GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 25 Apr 2005 (20 years ago) |
| Date of dissolution: | 25 Jan 2016 (9 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Jan 2016 (9 years ago) |
| Document Number: | L05000042270 |
| FEI/EIN Number | 20-2801969 |
| Address: | 26838 TANIC DRIVE, WESLEY CHAPEL, FL 33544 |
| Mail Address: | 26838 TANIC DRIVE, WESLEY CHAPEL, FL 33544 |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164480307 | 2006-05-03 | 2011-07-12 | 26838 TANIC DR, WESLEY CHAPEL, FL, 335444617, US | 26838 TANIC DR, WESLEY CHAPEL, FL, 335444617, US | |||||||||||||||
|
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| Phone | +1 813-991-1100 |
| Fax | 8139911200 |
Authorized person
| Name | MRS. JAMILA WYSE ATKINSON |
| Role | ADMINISTRATOR |
| Phone | 8139911100 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REVELLO, MARTIN | Agent | 26838 TANIC DRIVE, WESLEY CHAPEL, FL 33544 |
| Name | Role | Address |
|---|---|---|
| REVELLO, MARTIN | Authorized Member | 26838 TANIC DRIVE, WESLEY CHAPEL, FL 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2016-01-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-18 | 26838 TANIC DRIVE, WESLEY CHAPEL, FL 33544 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-18 | 26838 TANIC DRIVE, WESLEY CHAPEL, FL 33544 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-18 | 26838 TANIC DRIVE, WESLEY CHAPEL, FL 33544 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2016-01-25 |
| ANNUAL REPORT | 2015-04-14 |
| ANNUAL REPORT | 2014-04-24 |
| ANNUAL REPORT | 2013-04-01 |
| ANNUAL REPORT | 2012-04-18 |
| ANNUAL REPORT | 2011-08-08 |
| ANNUAL REPORT | 2011-03-17 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-07-08 |
Date of last update: 04 Jan 2025
Sources: Florida Department of State
