| Entity Name: | FLORIDA PRIMARY HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FLORIDA PRIMARY HEALTH 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. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 08 Jun 2015 (10 years ago) |
| Date of dissolution: | 17 Apr 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Apr 2019 (6 years ago) |
| Document Number: | L15000098736 |
| FEI/EIN Number |
47-4231075
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5890 STIRLING ROAD, SUITE 5-6, HOLLYWOOD, FL, 33021, US |
| Mail Address: | 5890 STIRLING ROAD, SUITE 5-6, HOLLYWOOD, FL, 33021, US |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720459175 | 2015-10-12 | 2015-10-12 | 5890 STIRLING RD, SUITE 5/6, HOLLYWOOD, FL, 330211542, US | 5890 STIRLING RD, SUITE 5/6, HOLLYWOOD, FL, 330211542, US | |||||||||||||||||||||||||
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| Phone | +1 954-606-5656 |
| Fax | 9546065657 |
Authorized person
| Name | CAROLINA PRECIADO |
| Role | PRESIDENT |
| Phone | 9546065656 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC10450 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | HCC UNIT |
| Number | FILE 11100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Castrellon Patricia EMD | President | 5890 STIRLING ROAD, SUITE 5-6, HOLLYWOOD, FL, 33021 |
| Castrellon Patricia EMD | Agent | 5890 STIRLING ROAD, SUITE 5-6, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-04-17 | - | - |
| REGISTERED AGENT NAME CHANGED | 2017-08-19 | Castrellon, Patricia Elena, MD | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-10-03 | 5890 STIRLING ROAD, SUITE 5-6, HOLLYWOOD, FL 33021 | - |
| LC AMENDMENT | 2016-10-03 | - | - |
| LC AMENDMENT | 2016-08-15 | - | - |
| LC AMENDMENT | 2015-11-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-08-04 | 5890 STIRLING ROAD, SUITE 5-6, HOLLYWOOD, FL 33021 | - |
| CHANGE OF MAILING ADDRESS | 2015-08-04 | 5890 STIRLING ROAD, SUITE 5-6, HOLLYWOOD, FL 33021 | - |
| LC AMENDMENT | 2015-08-04 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-04-17 |
| AMENDED ANNUAL REPORT | 2018-09-21 |
| AMENDED ANNUAL REPORT | 2018-08-30 |
| AMENDED ANNUAL REPORT | 2018-07-19 |
| ANNUAL REPORT | 2018-04-30 |
| AMENDED ANNUAL REPORT | 2017-08-19 |
| ANNUAL REPORT | 2017-02-28 |
| LC Amendment | 2016-10-03 |
| LC Amendment | 2016-08-15 |
| ANNUAL REPORT | 2016-07-08 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
