| Entity Name: | PRIME HEALTH ACO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 May 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 26 Apr 2022 (3 years ago) |
| Document Number: | L13000077330 |
| FEI/EIN Number | 46-2881266 |
| Address: | 7685 103RD STREET, SUITE 1, JACKSONVILLE, FL, 32210 |
| Mail Address: | 7685 103RD STREET, SUITE 1, JACKSONVILLE, FL, 32210 |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821734716 | 2022-05-12 | 2022-05-12 | 7685 103RD ST STE 1, JACKSONVILLE, FL, 322109326, US | 7685 103RD ST STE 1, JACKSONVILLE, FL, 322109326, US | |||||||||||||||||||||
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| Phone | +1 904-771-1116 |
| Fax | 9043945115 |
Authorized person
| Name | SYED S HUSSAIN |
| Role | MANAGING DIRECTOR |
| Phone | 9047711116 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LOCATION |
| Number | 7685 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HUSSAIN SYED S | Agent | 7685 103RD STREET, JACKSONVILLE, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| HUSSAIN SYED S | Manager | 7685 103RD STREET, JACKSONVILLE, FL, 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-10-03 | 7685 103RD STREET, SUITE 1, JACKSONVILLE, FL 32210 | No data |
| CHANGE OF MAILING ADDRESS | 2025-10-03 | 7685 103RD STREET, SUITE 1, JACKSONVILLE, FL 32210 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-03 | 7685 103RD STREET, SUITE 1, JACKSONVILLE, FL 32210 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-03 | 7685 103RD STREET, SUITE 1, JACKSONVILLE, FL 32210 | No data |
| REINSTATEMENT | 2022-04-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2017-04-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-04-21 | HUSSAIN, SYED S | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-01-26 |
| REINSTATEMENT | 2022-04-26 |
| REINSTATEMENT | 2017-04-21 |
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-04-30 |
| Florida Limited Liability | 2013-05-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
