| Entity Name: | PRIMARY CARE AGENCY, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 23 Oct 2012 (12 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L12000134931 |
| FEI/EIN Number | 46-1263137 |
| Address: | 1680 MICHIGAN AVE, 700, MIAMI BEACH, FL 33139 |
| Mail Address: | 420 WINSTON DR, DEERFIELD, IL 60015 |
| ZIP code: | 33139 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053749887 | 2013-10-14 | 2013-10-14 | 1680 MICHIGAN AVE, SUITE 700, MIAMI BEACH, FL, 331392538, US | 1680 MICHIGAN AVE, SUITE 700, MIAMI BEACH, FL, 331392538, US | |||||||||||||||
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| Phone | +1 305-924-4118 |
| Fax | 8479193507 |
Authorized person
| Name | MR. ZINOVY DRALYUK |
| Role | PRESIDENT |
| Phone | 3059244118 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRUMER, ANNA | Agent | 1680 MICHIGAN AVE ,SUITE 700, MIAMI BEACH, FL 60015 |
| Name | Role | Address |
|---|---|---|
| ZINOVY, DRALYUK | Managing Member | 1680 MICHIGAN AVE, 700 MIAMI BEACH, FL 33139 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| LC STMNT OF RA/RO CHG | 2014-06-16 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-06-16 | 1680 MICHIGAN AVE ,SUITE 700, MIAMI BEACH, FL 60015 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-03-26 | BRUMER, ANNA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-02-25 | 1680 MICHIGAN AVE, 700, MIAMI BEACH, FL 33139 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-01-30 |
| ANNUAL REPORT | 2015-01-23 |
| CORLCRACHG | 2014-07-16 |
| ANNUAL REPORT | 2014-01-31 |
| Reg. Agent Change | 2013-03-26 |
| ANNUAL REPORT | 2013-02-25 |
| Florida Limited Liability | 2012-10-23 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
