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  5. PRIMARY HEALTH PHYSICIANS GROUP, LLC

PRIMARY HEALTH PHYSICIANS GROUP, LLC - Florida Company Profile

Company Details

Entity Name: PRIMARY HEALTH PHYSICIANS GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PRIMARY HEALTH PHYSICIANS GROUP, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 18 Jun 2014 (11 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 21 Oct 2020 (5 years ago)
Document Number: L14000098290
FEI/EIN Number 47-1176788

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 3350 SW 148TH AVE. SUITE 110, MIRAMAR, FL, 33027, US
Mail Address: 3350 SW 148TH AVE. SUITE 110, MIRAMAR, FL, 33027, US
ZIP code: 33027
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548669013 2014-08-20 2014-08-20 655 NW 119TH ST, NORTH MIAMI, FL, 331682522, US 655 NW 119TH ST, NORTH MIAMI, FL, 331682522, US

Contacts
Phone +1 305-403-2219
Fax 7865173620

Authorized person
Name DR. GUY RUDOLPH MOISE
Role PRESIDENT AND CEO
Phone 3054032219

Taxonomy
Taxonomy Code 302F00000X - Exclusive Provider Organization
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
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

Key Officers & Management

Name Role Address
MOISE RUDOLPH Manager 3350 SW 148th Ave, MIRAMAR, FL, 33027
CHARLES BETTY Esq. Agent 2645 EXECUTIVE PARK DRIVE, WESTON, FL, 33331

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-01-12 CHARLES, BETTY, Esq. -
REGISTERED AGENT ADDRESS CHANGED 2024-01-12 2645 EXECUTIVE PARK DRIVE, SUITE 103, WESTON, FL 33331 -
CHANGE OF PRINCIPAL ADDRESS 2023-01-12 3350 SW 148TH AVE. SUITE 110, MIRAMAR, FL 33027 -
CHANGE OF MAILING ADDRESS 2023-01-12 3350 SW 148TH AVE. SUITE 110, MIRAMAR, FL 33027 -
REINSTATEMENT 2020-10-21 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -

Documents

Name Date
ANNUAL REPORT 2025-01-23
ANNUAL REPORT 2024-01-12
ANNUAL REPORT 2023-01-12
ANNUAL REPORT 2022-03-14
ANNUAL REPORT 2021-02-08
REINSTATEMENT 2020-10-21
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-03-24
ANNUAL REPORT 2016-04-18

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2481857306 2020-04-29 0455 PPP 3450 Lakeside Drive 340, HOLLYWOOD, FL, 33027-0000
Loan Status Date 2021-10-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 90505
Loan Approval Amount (current) 90505
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address HOLLYWOOD, BROWARD, FL, 33027-0800
Project Congressional District FL-25
Number of Employees 10
NAICS code 446199
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 91714.25
Forgiveness Paid Date 2021-09-10

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Companies related by address

3350 SW 148TH AVE. SUITE 110, MIRAMAR, FL, 33027, US

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3350 SW 148TH AVE. SUITE 110, MIRAMAR, FL, 33027, US

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Date of last update: 01 Apr 2025

Sources: Florida Department of State

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