| Entity Name: | PATIENT ALIGNED PRIMARY CARE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Oct 2012 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 26 Aug 2022 (2 years ago) |
| Document Number: | L12000136964 |
| FEI/EIN Number | 46-1319628 |
| Mail Address: | P.O. BOX 730355, ORMOND BEACH, FL 32173 |
| Address: | 301 MEMORIAL MEDICAL PKWY, ormond beach, FL 32117 |
| ZIP code: | 32117 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164864617 | 2013-07-25 | 2013-07-25 | PO BOX 730096, ORMOND BEACH, FL, 321730096, US | 909 BIG TREE RD, SOUTH DAYTONA, FL, 321192517, US | |||||||||||||||||||||||||
|
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| Phone | +1 386-506-8910 |
Authorized person
| Name | DR. GIRISH GHADE |
| Role | MEMBER MANAGER |
| Phone | 3865068910 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME96367 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME 107681 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REDDY, SHRIMANI | Agent | 301 MEMORIAL MEDICAL PKWY, ormond beach, FL 32117 |
| Name | Role | Address |
|---|---|---|
| REDDY, SHRIMANI | Managing Member | P.O. BOX 730355, ORMOND BEACH, FL 32173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 301 MEMORIAL MEDICAL PKWY, ormond beach, FL 32117 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 301 MEMORIAL MEDICAL PKWY, ormond beach, FL 32117 | No data |
| REINSTATEMENT | 2022-08-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-05 | REDDY, SHRIMANI | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-27 | 301 MEMORIAL MEDICAL PKWY, ormond beach, FL 32117 | No data |
| LC DISSOCIATION MEM | 2015-12-23 | No data | No data |
| LC AMENDMENT | 2013-08-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-16 |
| REINSTATEMENT | 2022-08-26 |
| ANNUAL REPORT | 2020-06-21 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-05-11 |
| ANNUAL REPORT | 2016-04-27 |
| CORLCDSMEM | 2015-12-23 |
| ANNUAL REPORT | 2015-04-17 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
