Entity Name: | PRIMARY CARE PROVIDERS OF AMERICA LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 15 Nov 2011 (13 years ago) |
Document Number: | L11000129835 |
FEI/EIN Number | 453824323 |
Address: | 18459 Pines Blvd, 213, Pembroke Pines, FL, 33029, US |
Mail Address: | 18459 Pines Blvd, 213, HOLLYWOOD, FL, 33029, US |
ZIP code: | 33029 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1588932289 | 2011-12-08 | 2023-06-21 | 18459 PINES BLVD, #213, PEMBROKE PINES, FL, 330291400, US | 18459 PINES BLVD, #213, PEMBROKE PINES, FL, 330291400, US | |||||||||||||||||||
|
Phone | +1 954-990-0595 |
Fax | 9549900596 |
Authorized person
Name | DR. VICTOR TOTFALUSI |
Role | PRESIDENT/CEO |
Phone | 9549900595 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | OS10987 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Totfalusi Victor | Agent | 18459 Pines Blvd, Pembroke Pines, FL, 33029 |
Name | Role | Address |
---|---|---|
TOTFALUSI VICTOR | Managing Member | 18459 Pines Blvd, Pembroke Pines, FL, 33029 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G12000034047 | SOUTH FLORIDA INPATIENT ASSOCIATES, INC. | EXPIRED | 2012-04-09 | 2017-12-31 | No data | 3107 STIRLING ROAD, 103, HOLLYWOOD, FL, 33312 |
G11000114493 | MY IN-HOME PCP | EXPIRED | 2011-11-28 | 2016-12-31 | No data | 3107 STIRLING RD, STE 103, HOLLYWOOD, FL, 33312 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-04-12 | 18459 Pines Blvd, 213, Pembroke Pines, FL 33029 | No data |
REGISTERED AGENT NAME CHANGED | 2022-03-08 | Totfalusi, Victor | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-03-08 | 18459 Pines Blvd, Suite 213, Pembroke Pines, FL 33029 | No data |
CHANGE OF MAILING ADDRESS | 2015-03-16 | 18459 Pines Blvd, 213, Pembroke Pines, FL 33029 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-22 |
ANNUAL REPORT | 2023-04-12 |
ANNUAL REPORT | 2022-03-08 |
ANNUAL REPORT | 2021-03-02 |
ANNUAL REPORT | 2020-02-07 |
ANNUAL REPORT | 2019-04-15 |
ANNUAL REPORT | 2018-04-03 |
ANNUAL REPORT | 2017-02-21 |
ANNUAL REPORT | 2016-03-15 |
ANNUAL REPORT | 2015-03-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State