| Entity Name: | PRIME HEALTH PARTNERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 04 Feb 2016 (9 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L16000024524 |
| FEI/EIN Number | 81-3812250 |
| Address: | 4056 TAMPA RD, SUITE 200, OLDSMAR, FL, 34677, US |
| Mail Address: | 4056 TAMPA RD, SUITE 200, OLDSMAR, FL, 34677, US |
| ZIP code: | 34677 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124551429 | 2017-04-04 | 2017-04-13 | 1694 BAYHILL DR, OLDSMAR, FL, 346771956, US | 14100 US HIGHWAY 19 N, SUITE 132, CLEARWATER, FL, 337647241, US | |||||||||||||||||||||||
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| Phone | +1 727-439-2677 |
| Fax | 7274316870 |
Authorized person
| Name | MR. ZEFF RAFAEL BONA |
| Role | OWNER |
| Phone | 7277871260 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | OS6109 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| KUTCHINS BRYAN AESQ. | Agent | 4056 TAMPA RD, OLDSMAR, FL, 34677 |
| Name | Role | Address |
|---|---|---|
| BONA RAFAEL | Manager | 1694 BAYHILL DR, OLDSMAR, FL, 34677 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| LC AMENDMENT | 2021-07-15 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-06-18 | 4056 TAMPA RD, SUITE 200, OLDSMAR, FL 34677 | No data |
| LC AMENDMENT | 2021-06-18 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-18 | 4056 TAMPA RD, SUITE 200, OLDSMAR, FL 34677 | No data |
| CHANGE OF MAILING ADDRESS | 2021-06-18 | 4056 TAMPA RD, SUITE 200, OLDSMAR, FL 34677 | No data |
| LC AMENDMENT | 2021-06-14 | No data | No data |
| LC AMENDMENT | 2019-08-29 | No data | No data |
| LC AMENDMENT | 2018-11-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-30 | KUTCHINS, BRYAN A, ESQ. | No data |
| Name | Date |
|---|---|
| LC Amendment | 2021-07-15 |
| LC Amendment | 2021-06-18 |
| LC Amendment | 2021-06-14 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-05-13 |
| LC Amendment | 2019-08-29 |
| ANNUAL REPORT | 2019-04-04 |
| LC Amendment | 2018-11-19 |
| REINSTATEMENT | 2018-03-30 |
| LC Amendment | 2017-06-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
