| Entity Name: | PRIME ASSURE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PRIME ASSURE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 29 Apr 2013 (12 years ago) |
| Document Number: | L13000061675 |
| FEI/EIN Number |
80-0918553
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1060 WINTER LANE, TALLAHASSEE, FL, 32311, US |
| Mail Address: | 1060 WINTER LANE, TALLAHASSEE, FL, 32311, US |
| ZIP code: | 32311 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447699178 | 2013-06-16 | 2016-10-25 | 1060 WINTER LN, TALLAHASSEE, FL, 323111267, US | 1060 WINTER LN, TALLAHASSEE, FL, 323111267, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 850-852-4157 |
| Phone | +1 850-524-1577 |
Authorized person
| Name | DR. ULOMA D ONUBOGU |
| Role | MANAGER |
| Phone | 85085241577 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | 2721822 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 2721822 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009484200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ONUBOGU ULOMA DDR. | Manager | 1060 WINTER LANE, TALLAHASSEE, FL, 32311 |
| ONUBOGU ULOMA DDR. | Agent | 1060 Winter Lane, TALLAHASSEE, FL, 32311 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2016-10-28 | 1060 Winter Lane, TALLAHASSEE, FL 32311 | - |
| CHANGE OF MAILING ADDRESS | 2016-10-25 | 1060 WINTER LANE, TALLAHASSEE, FL 32311 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-10-24 | 1060 WINTER LANE, TALLAHASSEE, FL 32311 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-05-10 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-06-27 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-01-13 |
| AMENDED ANNUAL REPORT | 2016-10-28 |
| ANNUAL REPORT | 2016-04-06 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
