| Entity Name: | PRIMARY CARE CENTER OF LYNN HAVEN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PRIMARY CARE CENTER OF LYNN HAVEN 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. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 21 Jun 2006 (19 years ago) |
| Date of dissolution: | 27 Sep 2024 (7 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (7 months ago) |
| Document Number: | L06000063551 |
| FEI/EIN Number |
510587478
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 825 FLORIDA AVE, LYNN HAVEN, FL, 32444 |
| Mail Address: | PO BOX 1199, LYNN HAVEN, FL, 32444 |
| ZIP code: | 32444 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700803624 | 2006-07-16 | 2011-10-26 | PO BOX 1199, LYNN HAVEN, FL, 324441199, US | 825 FLORIDA AVE, LYNN HAVEN, FL, 324442335, US | |||||||||||||||||||||||||||
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| Phone | +1 850-265-3686 |
| Fax | 8502715665 |
Authorized person
| Name | DR. ASIM J KHATTAK |
| Role | OWNER |
| Phone | 8502653686 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1700803624 |
| State | FL |
| Issuer | MEDICAID |
| Number | 276096700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KHAN SOHAIL M | Manager | 825 FLORIDA AVE, LYNN HAVEN, FL, 32444 |
| KHAN SOHAIL M | Agent | 825 FLORIDA AVE, LYNN HAVEN, FL, 32444 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| REGISTERED AGENT NAME CHANGED | 2020-01-11 | KHAN, SOHAIL M | - |
| REINSTATEMENT | 2014-09-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| REINSTATEMENT | 2010-07-01 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-01-11 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-03-18 |
| ANNUAL REPORT | 2016-03-27 |
| ANNUAL REPORT | 2015-04-09 |
| REINSTATEMENT | 2014-09-08 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
