| Entity Name: | SUNSHINE PRIMARY CARE LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Sep 2012 (12 years ago) |
| Document Number: | L12000115464 |
| FEI/EIN Number | 46-0900356 |
| Address: | 17921 HUNTING BOW CIRCLE, UNIT 13 (SUITE 101 & 102), LUTZ, FL, 33558 |
| Mail Address: | 17921 HUNTING BOW CIRCLE, Suite 102, LUTZ, FL, 33558, US |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861734824 | 2013-03-17 | 2013-03-25 | 17921 HUNTING BOW CIR, SUITE 101, LUTZ, FL, 335585379, US | 17921 HUNTING BOW CIR, SUITE 101, LUTZ, FL, 335585379, US | |||||||||||||||||
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| Phone | +1 813-792-1900 |
Authorized person
| Name | DR. GHIATH KASHLAN |
| Role | OWNER/PROVIDER/CEO |
| Phone | 8137921900 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME106343 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KASHLAN GHIATH M | Agent | 17921 HUNTING BOW CIRCLE, LUTZ, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| KASHLAN GHIATH M | Managing Member | 17921 HUNTING BOW CIRCLE, LUTZ, FL, 33558 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2013-02-11 | 17921 HUNTING BOW CIRCLE, UNIT 13 (SUITE 101 & 102), LUTZ, FL 33558 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-02-11 | 17921 HUNTING BOW CIRCLE, UNIT 13 (SUITE 101 & 102), LUTZ, FL 33558 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-03-04 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-01-31 |
| ANNUAL REPORT | 2015-01-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
