Entity Name: | TOTAL PRIMARY CARE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 16 Nov 2007 (17 years ago) |
Date of dissolution: | 23 Sep 2011 (13 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2011 (13 years ago) |
Document Number: | L07000116389 |
FEI/EIN Number | 392066470 |
Address: | 1531 N. FEDERAL HWY, HOLLYWOOD, FL, 33020 |
Mail Address: | 1531 N. FEDERAL HWY, HOLLYWOOD, FL, 33020 |
ZIP code: | 33020 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1871775965 | 2007-11-29 | 2008-04-23 | 1531 N FEDERAL HWY, HOLLYWOOD, FL, 330202849, US | 1531 N FEDERAL HWY, HOLLYWOOD, FL, 330202849, US | |||||||||||||||||||||||
|
Phone | +1 954-663-5066 |
Authorized person
Name | MR. MIKHAIL ZELFMAN |
Role | PHYSICIAN |
Phone | 9546635066 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
License Number | OS9808 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | PTAN |
Number | AI480 |
State | FL |
Name | Role | Address |
---|---|---|
ZELFMAN MIKHAIL | Agent | 1531 N. FEDERAL HWY, HOLLYWOOD, FL, 33020 |
Name | Role | Address |
---|---|---|
ZELFMAN MIKHAIL | Managing Member | 1531 N. FEDERAL HWY, HOLLYWOOD, FL, 33020 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2010-04-20 |
ANNUAL REPORT | 2009-04-30 |
ANNUAL REPORT | 2008-08-05 |
Florida Limited Liability | 2007-11-16 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State