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ST. ANTHONY'S PRIMARY CARE, LLC - Florida Company Profile

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Company Details

Entity Name: ST. ANTHONY'S PRIMARY CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 05 Dec 2005 (20 years ago)
Date of dissolution: 20 Apr 2017 (8 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 20 Apr 2017 (8 years ago)
Document Number: L05000116255
FEI/EIN Number 030575868
Address: 300 SOUTH PARK PLACE BOULEVARD, SUITE 180, CLEARWATER, FL, 33759, US
Mail Address: 300 SOUTH PARK PLACE BOULEVARD, SUITE 180, CLEARWATER, FL, 33759, US
ZIP code: 33759
City: Clearwater
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Ulbricht William Secretary 300 SOUTH PARK PLACE BOULEVARD, CLEARWATER, FL, 33759
- Agent -
Fink Andrew M.D. Director 4902 EISENHOWER BOULEVARD, TAMPA, FL, 33634
FLAREAU BRUCE M.D. Director 2985 DREW STREET, CLEARWATER, FL, 33759
GANTNER JOHN Director 2985 DREW STREET, CLEARWATER, FL, 33759
WATERS GLENN Director 2985 DREW STREET, CLEARWATER, FL, 33759
BORRECA JOHN Director 5405 SUNFLARE WEST, LUTZ, FL, 33558

National Provider Identifier

NPI Number:
1235398058

Authorized Person:

Name:
DR. TERESA BRADLEY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207QS0010X - Sports Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
7275321318
Fax:
7278214297

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000129654 BAYCARE MEDICAL GROUP EXPIRED 2014-12-24 2024-12-31 - 3503 E. FRONTAGE ROAD, TAMPA, FL, 33607
G13000128344 BAYCARE MEDICAL GROUP EXPIRED 2013-12-30 2018-12-31 - 4902 EISENHOWER BLVD, SUITE 300, TAMPA, FL, 33634

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2017-04-20 - -
REGISTERED AGENT NAME CHANGED 2016-03-08 BAYCARE HEALTH SYSTEM, INC. -
CHANGE OF PRINCIPAL ADDRESS 2014-04-28 300 SOUTH PARK PLACE BOULEVARD, SUITE 180, CLEARWATER, FL 33759 -
CHANGE OF MAILING ADDRESS 2014-04-28 300 SOUTH PARK PLACE BOULEVARD, SUITE 180, CLEARWATER, FL 33759 -
REGISTERED AGENT ADDRESS CHANGED 2014-04-28 ATTENTION: LEGAL SERVICES DEPARTMENT, 2985 DREW STREET, CLEARWATER, FL 33759 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2017-04-20
AMENDED ANNUAL REPORT 2016-08-15
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-03-04
ANNUAL REPORT 2014-04-28
ANNUAL REPORT 2013-04-11
ANNUAL REPORT 2012-04-25
ANNUAL REPORT 2011-03-14
ANNUAL REPORT 2010-04-22
ANNUAL REPORT 2009-03-11

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Date of last update: 02 Jul 2025

Sources: Florida Department of State