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PHYSICIANS FOR ACCOUNTABLE CARE, LLC - Florida Company Profile

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Company Details

Entity Name: PHYSICIANS FOR ACCOUNTABLE CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Apr 2012 (13 years ago)
Last Event: CONVERSION
Event Date Filed: 24 Apr 2012 (13 years ago)
Document Number: L12000055750
FEI/EIN Number 58-1645419
Address: 922 Rolling Acres Road, Lady Lake, FL, 32159, US
Mail Address: 922 Rolling Acres Rd., Lady Lake, FL, 32159, US
ZIP code: 32159
City: Lady Lake
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Catalano David JDr. Manager 922 Rolling Acres Road, Lady Lake, FL, 32159
- Agent -

National Provider Identifier

NPI Number:
1124014709
Certification Date:
2022-03-15

Authorized Person:

Name:
REBECCA GROHLER
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
No
Selected Taxonomy:
2085R0001X - Radiation Oncology Physician
Is Primary:
Yes

Contacts:

Fax:
5275363993
Fax:
3537536399

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000037680 INTERCOMMUNITY CANCER CENTERS ACTIVE 2020-04-02 2025-12-31 - 922 ROLLING ACRES ROAD, SUITE 1E, LADY LAKE, FL, 32159
G12000089082 INTERCOMMUNITY CANCER CENTERS EXPIRED 2012-09-11 2017-12-31 - 301 SOUTH LAKE STREET, LEESBURG, FL, 34748
G12000089078 UROLOGY ASYSOCIATES OF LAKE COUNT EXPIRED 2012-09-11 2017-12-31 - 801 NORTHSHORE DRIVE, EUSTIS, FL, 32726

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-03-14 922 Rolling Acres Road, Lady Lake, FL 32159 -
CHANGE OF MAILING ADDRESS 2022-03-14 922 Rolling Acres Road, Lady Lake, FL 32159 -
REGISTERED AGENT ADDRESS CHANGED 2022-03-14 228 Hillcrest Street, Orlando, FL 32801 -
REGISTERED AGENT NAME CHANGED 2016-12-08 Walsh Banks, PLLC -
CONVERSION 2012-04-24 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS A21644. CONVERSION NUMBER 300000122033

Documents

Name Date
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-03-14
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-02-14
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-03-01
ANNUAL REPORT 2017-01-30
AMENDED ANNUAL REPORT 2016-12-08
ANNUAL REPORT 2016-01-26

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Date of last update: 01 Aug 2025

Sources: Florida Department of State