| Entity Name: | PALM PRIMARY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Oct 2013 (11 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L13000150754 |
| FEI/EIN Number | 46-3973819 |
| Address: | 755 East 8th Avenue, HIALEAH, FL, 33010, US |
| Mail Address: | 755 East 8th Avenue, HIALEAH, FL, 33010, US |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063841740 | 2013-11-04 | 2013-11-04 | 705 EAST LE JEUNE ROAD, 2ND FLOOR, HIALEAH, FL, 33010, US | 705 EAST LE JEUNE ROAD, 2ND FLOOR, HIALEAH, FL, 33010, US | |||||||||||||
|
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| Phone | +1 914-720-3686 |
Authorized person
| Name | MARIO ALBERT MALVEHY |
| Role | MEDICAL DIRECTOR |
| Phone | 9147203686 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SILVERBERG & WEISS, P.A | Agent | 1290 WESTON ROAD, STE. 218, Weston, FL, 33326 |
| Name | Role |
|---|---|
| BLUE MARINA INVESTMENTS, LLC | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-25 | SILVERBERG & WEISS, P.A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-25 | 1290 WESTON ROAD, STE. 218, Weston, FL 33326 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-07 | 755 East 8th Avenue, HIALEAH, FL 33010 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-07 | 755 East 8th Avenue, HIALEAH, FL 33010 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-04-07 |
| ANNUAL REPORT | 2015-04-08 |
| ANNUAL REPORT | 2014-03-27 |
| Florida Limited Liability | 2013-10-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
