| Entity Name: | FLORIDA PRIMARY CARE GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Mar 2013 (12 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L13000046430 |
| Address: | 3861 AVALON PARK EAST BLVD, ORLANDO, FL, 32828, US |
| Mail Address: | 3861 AVALON PARK EAST BLVD, ORLANDO, FL, 32828, US |
| ZIP code: | 32828 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376960351 | 2014-03-27 | 2014-03-27 | 3861 AVALON PARK EAST BLVD, ORLANDO, FL, 328284853, US | 3861 AVALON PARK EAST BLVD, ORLANDO, FL, 328284853, US | |||||||||||||||
|
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| Phone | +1 407-378-5300 |
| Fax | 4077455589 |
Authorized person
| Name | DR. WALTER A BLACK |
| Role | MEDICAL DIRECTOR |
| Phone | 4073785300 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PIERRE CHARLES | Agent | 3861 AVALON PARK EAST BLVD., ORLANDO, FL, 32828 |
| Name | Role | Address |
|---|---|---|
| PIERRE CHARLES | Managing Member | 3861 AVALON PARK EAST BLVD, ORLANDO, FL, 32828 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2013-03-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
