| Entity Name: | PRIMECARE NORTH TAMPA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 May 2007 (18 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: | L07000054993 |
| FEI/EIN Number | 260224242 |
| Address: | 13801 BRUCE B. DOWNS BLVD, SUITE 104, TAMPA, FL, 33613, US |
| Mail Address: | 3000 Medical Park Drive Suite 450, TAMPA, FL, 33613, US |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285822106 | 2007-10-04 | 2008-12-01 | 13801 BRUCE B DOWNS BLVD, SUITE 104, TAMPA, FL, 336133946, US | 13801 BRUCE B DOWNS BLVD, SUITE 104, TAMPA, FL, 336133946, US | |||||||||||||||
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| Phone | +1 813-972-5420 |
| Fax | 8139772021 |
Authorized person
| Name | GLADYMAR VELEZ |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 8139725420 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| GRAYROBINSON, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| REVELLO MARTIN | Managing Member | 13801 BRUCE B. DOWNS BLVD., STE. 104, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2016-01-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-23 | 13801 BRUCE B. DOWNS BLVD, SUITE 104, TAMPA, FL 33613 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-06-20 | 13801 BRUCE B. DOWNS BLVD, SUITE 104, TAMPA, FL 33613 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-06-20 | GRAYROBINSON, P.A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-06-20 | 201 N. FRANKLIN ST, SUITE 2200, TAMPA, FL 33602 | No data |
| LC AMENDED AND RESTATED ARTICLES | 2007-08-23 | No data | No data |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2018-03-19 |
| LC Voluntary Dissolution | 2016-01-25 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-23 |
| ANNUAL REPORT | 2013-04-24 |
| ANNUAL REPORT | 2012-01-23 |
| ANNUAL REPORT | 2011-06-30 |
| ANNUAL REPORT | 2011-06-20 |
| ANNUAL REPORT | 2011-03-30 |
| ANNUAL REPORT | 2010-04-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
