| Entity Name: | PRIMECARE DOCTORS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jan 2014 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Apr 2023 (2 years ago) |
| Document Number: | L14000009494 |
| FEI/EIN Number | 47-3270091 |
| Address: | 1198 MARINER BOULEVARD, SPRING HILL, FL, 34609 |
| Mail Address: | 1214 MARINER BOULEVARD, SPRING HILL, FL, 34609 |
| ZIP code: | 34609 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558726802 | 2015-12-30 | 2016-09-12 | 1214 MARINER BLVD, SPRING HILL, FL, 346095657, US | 9030 W FORT ISLAND TRL, STE 1, CRYSTAL RIVER, FL, 344292412, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-796-9994 |
| Fax | 3527969934 |
| Phone | +1 352-228-8906 |
| Fax | 3522288905 |
Authorized person
| Name | PARIKSITH SINGH |
| Role | OWNER |
| Phone | 3527969994 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME71088 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016510400 |
| State | FL |
| Issuer | MEDICAID |
| Number | 016510401 |
| State | FL |
| Issuer | FLORIDA BCBS |
| Number | 7Z3JB |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Frick Scott AEsq. | Agent | 1005 N Marion Street, Tampa, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| SINGH PARIKSITH | Manager | 1214 MARINER BOULEVARD, SPRING HILL, FL, 34609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-04-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-07 | 1005 N Marion Street, Tampa, FL 33602 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-10 | Frick, Scott A, Esq. | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2024-03-18 |
| REINSTATEMENT | 2023-04-03 |
| ANNUAL REPORT | 2021-03-22 |
| AMENDED ANNUAL REPORT | 2020-04-07 |
| ANNUAL REPORT | 2020-02-26 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-02-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
