Entity Name: | OPTIMUM PRIMARY CARE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
OPTIMUM PRIMARY CARE, 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: | 13 Apr 2009 (16 years ago) |
Date of dissolution: | 02 Jul 2019 (6 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 02 Jul 2019 (6 years ago) |
Document Number: | L09000035198 |
FEI/EIN Number |
264656240
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 1600 Marina Bay Dr, Panama City, FL, 32409, US |
Mail Address: | P O BOX 16528, PANAMA CITY, FL, 32406 |
ZIP code: | 32409 |
County: | Bay |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1902049034 | 2009-04-20 | 2009-09-17 | PO BOX 16528, PANAMA CITY, FL, 324066528, US | 750 HARRISON AVE, PANAMA CITY, FL, 324012524, US | |||||||||||||||||||||||||||||
|
Phone | +1 850-215-4540 |
Authorized person
Name | WAEL FARID |
Role | PHYSICIAN |
Phone | 2017579526 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | ME 99885 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS |
Number | 29925 |
State | FL |
Issuer | MEDICAID |
Number | 280906100 |
State | FL |
Name | Role | Address |
---|---|---|
FARID WAEL | President | P O BOX 16528, PANAMA CITY, FL, 32406 |
FARID WAEL | Agent | 1600 Marina Bay Dr, Panama City, FL, 32409 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2019-07-02 | - | - |
CHANGE OF PRINCIPAL ADDRESS | 2018-02-28 | 1600 Marina Bay Dr, 705, Panama City, FL 32409 | - |
REGISTERED AGENT ADDRESS CHANGED | 2018-02-28 | 1600 Marina Bay Dr, 705, Panama City, FL 32409 | - |
REINSTATEMENT | 2012-10-24 | - | - |
CHANGE OF MAILING ADDRESS | 2012-10-24 | 1600 Marina Bay Dr, 705, Panama City, FL 32409 | - |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | - | - |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2019-07-02 |
ANNUAL REPORT | 2018-02-28 |
ANNUAL REPORT | 2017-04-10 |
ANNUAL REPORT | 2016-02-02 |
ANNUAL REPORT | 2015-02-27 |
ANNUAL REPORT | 2014-04-06 |
ANNUAL REPORT | 2013-03-28 |
REINSTATEMENT | 2012-10-24 |
Florida Limited Liability | 2009-04-13 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State