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  5. MIDWAY PRIMARY CARE, LLC

MIDWAY PRIMARY CARE, LLC

Company Details

Entity Name: MIDWAY PRIMARY CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 May 2016 (9 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 25 Feb 2019 (6 years ago)
Document Number: L16000093425
FEI/EIN Number 30-0940809
Mail Address: 356 E MIDWAY RD, FT PIERCE, FL, 34982, US
Address: 3255 S US HWY 1, FT PIERCE, FL, 34982, US
ZIP code: 34982
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598114779 2016-06-08 2022-06-24 356 E MIDWAY RD, FORT PIERCE, FL, 349827148, US 3255 S US HIGHWAY 1, FORT PIERCE, FL, 349826381, US

Contacts
Phone +1 772-464-9746
Phone +1 772-742-9470

Authorized person
Name KATHRYN HAYDEN
Role BOARD MEMBER
Phone 7724649746

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDWAY PRIMARY CARE LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 300940809 2024-04-24 MIDWAY PRIMARY CARE LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 7727429276
Plan sponsor’s address 3255 S US HIGHWAY 1, FORT PIERCE, FL, 34982

Signature of
Role Plan administrator
Date 2024-04-24
Name of individual signing KATHRYN E HAYDEN
Valid signature Filed with authorized/valid electronic signature
MIDWAY PRIMARY CARE LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 300940809 2023-03-29 MIDWAY PRIMARY CARE LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 7727429276
Plan sponsor’s address 3255 S US HIGHWAY 1, FORT PIERCE, FL, 34982

Signature of
Role Plan administrator
Date 2023-03-29
Name of individual signing KATHRYN E HAYDEN
Valid signature Filed with authorized/valid electronic signature
MIDWAY PRIMARY CARE LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 300940809 2022-05-24 MIDWAY PRIMARY CARE LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 7727429276
Plan sponsor’s address 3255 S US HIGHWAY 1, FORT PIERCE, FL, 34982

Signature of
Role Plan administrator
Date 2022-05-24
Name of individual signing KATHRYN E HAYDEN
Valid signature Filed with authorized/valid electronic signature
MIDWAY PRIMARY CARE LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 300940809 2021-06-08 MIDWAY PRIMARY CARE LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 7727429276
Plan sponsor’s address 3255 S US HIGHWAY 1, FORT PIERCE, FL, 34982

Signature of
Role Plan administrator
Date 2021-06-08
Name of individual signing KATHRYN E HAYDEN
Valid signature Filed with authorized/valid electronic signature
MIDWAY PRIMARY CARE LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 300940809 2020-05-28 MIDWAY PRIMARY CARE LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 7727429276
Plan sponsor’s address 3255 S US HIGHWAY 1, FORT PIERCE, FL, 34982

Signature of
Role Plan administrator
Date 2020-05-28
Name of individual signing KATHRYN E HAYDEN
Valid signature Filed with authorized/valid electronic signature
MIDWAY PRIMARY CARE, LLC 401 K PROFIT SHARING PLAN TRUST 2018 300940809 2019-07-09 MIDWAY PRIMARY CARE LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 7727429276
Plan sponsor’s address 3255 S US HIGHWAY 1, FORT PIERCE, FL, 34982

Signature of
Role Plan administrator
Date 2019-07-09
Name of individual signing KATHRYN E HAYDEN
Valid signature Filed with authorized/valid electronic signature
MIDWAY PRIMARY CARE, LLC 401 K PROFIT SHARING PLAN TRUST 2017 300940809 2018-07-14 MIDWAY PRIMARY CARE LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 7727429276
Plan sponsor’s address 3255 S US HIGHWAY 1, FORT PIERCE, FL, 34982

Signature of
Role Plan administrator
Date 2018-07-14
Name of individual signing KATHRYN E HAYDEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HAYDEN KATHRYN E Agent 356 E MIDWAY RD, FT PIERCE, FL, 34982

Manager

Name Role
MIDWAY HEALTH CARE CENTERS, INC. Manager

Events

Event Type Filed Date Value Description
LC AMENDMENT 2019-02-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2017-06-23 3255 S US HWY 1, FT PIERCE, FL 34982 No data

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-02-03
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-02-06
ANNUAL REPORT 2020-01-31
LC Amendment 2019-02-25
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-22
ANNUAL REPORT 2017-02-28
Florida Limited Liability 2016-05-18

Related by officers

HAYDEN KATHRYN E

MIDWAY SPECIALTY CARE CENTER, INC. MIDWAY HEALTH CARE CENTERS, INC. MIDWAY SPECIALTY DIAGNOSTICS, LLC C.J. LAWN SERVICE, INC.

Related by address

356 E MIDWAY RD, FT PIERCE, FL, 34982, US

MIDWAY SPECIALTY CARE RX, LLC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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