| Entity Name: | LAKEWOOD RANCH PRIMARY CARE ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Sep 2016 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 30 Aug 2022 (2 years ago) |
| Document Number: | L16000165959 |
| FEI/EIN Number | 81-3841120 |
| Address: | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL 33607 |
| Mail Address: | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699219113 | 2016-12-19 | 2016-12-19 | 6101 WEBB RD, SUITE 203, TAMPA, FL, 336152872, US | 822 62ND STREET CIR E, SUITE 102, BRADENTON, FL, 342086208, US | |||||||||||||||||||||||
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| Phone | +1 813-269-6426 |
| Fax | 8133425261 |
| Phone | +1 941-243-3983 |
| Fax | 9418963795 |
Authorized person
| Name | PAUL M PULCINI |
| Role | DOCTOR |
| Phone | 8132696426 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME83175 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| PCA TOPCO, LLC | Authorized Member | 3030 N. ROCKY POINT DR., SUITE 825 TAMPA, FL 33607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000165746 | MAXHEALTH | ACTIVE | 2021-12-16 | 2026-12-31 | No data | 3030 ROCKY POINT DR, STE 825, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-08-30 | No data | No data |
| LC AMENDMENT | 2021-07-20 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-07-20 | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2021-07-20 | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL 33607 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-07-20 | C T CORPORATION SYSTEM | No data |
| LC AMENDMENT | 2016-10-31 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-02-27 |
| LC Amendment | 2022-08-30 |
| ANNUAL REPORT | 2022-04-16 |
| LC Amendment | 2021-07-20 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-06-18 |
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-04-28 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
