| Entity Name: | MEDEX PRIMARY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Aug 2011 (13 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L11000095752 |
| FEI/EIN Number | 453086087 |
| Address: | 6500 CRILL AVENUE, PALATAKA, FL, 32177 |
| Mail Address: | P.O. BOX 66, PALATKA, FL, 32178-0066 |
| ZIP code: | 32177 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174892830 | 2011-12-23 | 2011-12-23 | 6500 CRILL AVE, BUILDING 3 SUTE 1, PALATKA, FL, 321779230, US | 6500 CRILL AVE, BLDG 3 STE 1, PALATKA, FL, 321779230, US | |||||||||||||||||||
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| Phone | +1 386-326-0575 |
| Fax | 3863260571 |
Authorized person
| Name | MS. LYNN H. DENNIS |
| Role | OFFICE ADMINISTRATOR |
| Phone | 3863260575 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME54477 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| John Milanick C | Agent | 116 Rachel Road, PALATAKA, FL, 32177 |
| Name | Role | Address |
|---|---|---|
| MILANICK JOHN C | Managing Member | 116 RACHEL ROAD, PALATKA, FL, 32177 |
| SCHIFFBAUER GEORGE W | Managing Member | 111 CONFEDERATE POINT ROAD, PALATKA, FL, 32177 |
| JUNGENBERG GREGORY L | Managing Member | 2101 CARR STREET, PALATKA, FL, 32177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-04-30 | John, Milanick C | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-30 | 116 Rachel Road, PALATAKA, FL 32177 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-02-02 |
| ANNUAL REPORT | 2015-01-05 |
| ANNUAL REPORT | 2014-03-19 |
| ANNUAL REPORT | 2013-06-11 |
| ANNUAL REPORT | 2012-05-07 |
| Florida Limited Liability | 2011-08-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
