| Entity Name: | SOUTH PALM PRIMARY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jan 2013 (12 years ago) |
| Document Number: | L13000012137 |
| FEI/EIN Number | 46-2630771 |
| Address: | 660 Glades Road, Suite 310, Boca Raton, FL 33431 |
| Mail Address: | 660 Glades Road, Suite 310, Boca Raton, FL 33431 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306413455 | 2021-06-08 | 2022-04-17 | 660 GLADES RD STE 310, BOCA RATON, FL, 334316468, US | 660 GLADES RD STE 310, BOCA RATON, FL, 334316468, US | |||||||||||||||
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| Phone | +1 561-361-3133 |
| Fax | 5613619695 |
Authorized person
| Name | JOANN YI |
| Role | OWNER |
| Phone | 5613613133 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Yi, Joann | Agent | 21342 Falls Ridge Way, Boca Raton, FL 33428 |
| Name | Role | Address |
|---|---|---|
| YI, JOANN | Managing Member | 21342 FALLS RIDGE WAY, BOCA RATON, FL 33428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-23 | 660 Glades Road, Suite 310, Boca Raton, FL 33431 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-23 | 660 Glades Road, Suite 310, Boca Raton, FL 33431 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-03 | 21342 Falls Ridge Way, Boca Raton, FL 33428 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-29 | Yi, Joann | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-02-23 |
| ANNUAL REPORT | 2021-03-10 |
| ANNUAL REPORT | 2020-02-19 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-01-03 |
| ANNUAL REPORT | 2017-03-29 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-15 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
