| Entity Name: | ADVANCE PRIMARY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Mar 2017 (8 years ago) |
| Document Number: | L17000053887 |
| FEI/EIN Number | 82-0717878 |
| Address: | 1133 SE 18TH PLACE, SUITE 2, OCALA, FL, 34471 |
| Mail Address: | 1133 SE 18TH PLACE, SUITE 2, OCALA, FL, 34471 |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669909305 | 2017-05-12 | 2017-05-12 | 1133 SE 18TH PL, SUITE 2, OCALA, FL, 344715410, US | 1133 SE 18TH PL, SUITE 2, OCALA, FL, 34471, US | |||||||||||||||||||||||||
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| Phone | +1 352-861-5765 |
| Fax | 3528671801 |
Authorized person
| Name | DR. JAIME ELI RUBIO |
| Role | OWNER |
| Phone | 3522869255 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ACN-194 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 280272400 |
| State | FL |
| Name | Role |
|---|---|
| CRIPPEN COMPANY, THE | Agent |
| Name | Role | Address |
|---|---|---|
| RUBIO JAIME E | Authorized Member | 4991 SE 44TH AVE ROAD, OCALA, FL, 34480 |
| RUBIO ELIZABETH A | Authorized Member | 4991 SE 44TH AVE ROAD, OCALA, FL, 34480 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-06 | Crippen | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-21 | 7380 SW 60th Ave, Suite 4, OCALA, FL 34476 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-01-07 |
| ANNUAL REPORT | 2018-02-08 |
| Florida Limited Liability | 2017-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
