| Entity Name: | PATIENTS PRIMARY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 May 2005 (20 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 03 Aug 2007 (18 years ago) |
| Document Number: | L05000045536 |
| FEI/EIN Number | 202824758 |
| Address: | 4413 N. W. BLITCHTON RD, OCALA, FL, 34482 |
| Mail Address: | P. O. BOX 771706, OCALA, FL, 34477-1706 |
| ZIP code: | 34482 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073709333 | 2007-09-20 | 2008-09-10 | PO BOX 771706, OCALA, FL, 344771706, US | 4413 NW BLITCHTON RD, OCALA, FL, 344824056, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 352-629-8088 |
| Fax | 3526291962 |
Authorized person
| Name | MRS. LORIJEAN FACKLER |
| Role | MANAGING MEMBER |
| Phone | 3526298088 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE RAILROAD |
| Number | POO269817 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FACKLER LORI | Agent | 12200 W. HIGHWAY 318, REDDICK, FL, 32686 |
| Name | Role | Address |
|---|---|---|
| FACKLER LORI | Managing Member | 12200 W. HIGHWAY 318, REDDICK, FL, 32686 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2007-08-03 | PATIENTS PRIMARY CARE, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-05-01 | 4413 N. W. BLITCHTON RD, OCALA, FL 34482 | No data |
| CHANGE OF MAILING ADDRESS | 2006-05-01 | 4413 N. W. BLITCHTON RD, OCALA, FL 34482 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-05-07 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-03-22 |
| ANNUAL REPORT | 2015-01-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
