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PHYSICIANS CARE CLINIC, LLC - Florida Company Profile

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Company Details

Entity Name: PHYSICIANS CARE CLINIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Jun 2014 (11 years ago)
Document Number: L14000096348
FEI/EIN Number 47-1123495
Address: 4100 S. HOSPITAL DRIVE, SUITE 111, FORT LAUDERDALE, FL, 33317
Mail Address: 6976 SPYGLASS AVENUE, PARKLAND, FL, 33076
ZIP code: 33317
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BALTAZAR SHELLA Managing Member 6976 SPYGLASS AVENUE, PARKLAND, FL, 33076
SMITH AEBEL ERIN ESQ. Agent SHUMAKER, LOOP & KENDRICK, LLP, TAMPA, FL, 33602

National Provider Identifier

NPI Number:
1003225475

Authorized Person:

Name:
GEORGE ELIAS ROVITO
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9547851998

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-02-17
Reg. Agent Resignation 2021-05-11
ANNUAL REPORT 2021-03-24
ANNUAL REPORT 2020-02-26
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-02-01
ANNUAL REPORT 2016-02-17

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Date of last update: 03 Aug 2025

Sources: Florida Department of State