|
PRIMARY HEALTH PHYSICIANS GROUP, LLC
|
2023
|
471176788
|
2024-06-25
|
PRIMARY HEALTH PHYSICIANS GROUP,
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
7865173943
|
| Plan sponsor’s
address |
3350 SW 148TH AVE SUITE 110, MIRAMAR, FL, 33027
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-25 |
| Name of individual signing |
LUZ GONZALEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PRIMARY HEALTH PHYSICIANS GROUP, LLC
|
2022
|
471176788
|
2023-07-07
|
PRIMARY HEALTH PHYSICIANS GROUP,
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
7865173943
|
| Plan sponsor’s
address |
3350 SW 148TH AVE. SUITE 110, MIRAMAR, FL, 33027
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-07 |
| Name of individual signing |
LUZ GONZALEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PRIMARY HEALTH PHYSICIANS GROUP, LLC
|
2021
|
471176788
|
2022-05-27
|
PRIMARY HEALTH PHYSICIANS GROUP,
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
7865173943
|
| Plan sponsor’s
address |
655 NW 119TH ST, NORTH MIAMI, FL, 33168
|
Signature of
| Role |
Plan administrator |
| Date |
2022-05-27 |
| Name of individual signing |
LUZ GONZALEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PRIMARY HEALTH PHYSICIANS GROUP, LLC
|
2020
|
471176788
|
2021-06-19
|
PRIMARY HEALTH PHYSICIANS GROUP,
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
7865173943
|
| Plan sponsor’s
address |
3450 LAKESIDE DR. SUITE 340, MIRAMAR, FL, 33027
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-19 |
| Name of individual signing |
LUZ GONZALEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PRIMARY HEALTH PHYSICIANS GROUP, LLC
|
2019
|
471176788
|
2020-07-30
|
PRIMARY HEALTH PHYSICIANS GROUP,
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
7865173943
|
| Plan sponsor’s
address |
3450 LAKESIDE DRIVE, SUITE 340, MIRAMAR, FL, 33027
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-30 |
| Name of individual signing |
LUZ GONZALEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PRIMARY HEALTH PHYSICIANS GROUP, LLC
|
2018
|
471176788
|
2019-07-25
|
PRIMARY HEALTH PHYSICIANS GROUP,
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
7865173943
|
| Plan sponsor’s
address |
655 NW 119TH ST, NORTH MIAMI, FL, 33168
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-25 |
| Name of individual signing |
LUZ GONZALEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PRIMARY HEALTH PHYSICIANS GROUP, LLC
|
2017
|
471176788
|
2018-06-18
|
PRIMARY HEALTH PHYSICIANS GROUP,
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
7865173943
|
| Plan sponsor’s
address |
655 NW 119TH ST, NORTH MIAMI, FL, 33168
|
Signature of
| Role |
Plan administrator |
| Date |
2018-06-18 |
| Name of individual signing |
LUZ GONZALEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
