| Entity Name: | MB PRIMARY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MB PRIMARY CARE 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 30 May 2017 (8 years ago) |
| Document Number: | L17000117877 |
| FEI/EIN Number |
82-1762585
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2213 GLENMOOR RD S, CLEARWATER, FL, 33764 |
| Mail Address: | 2213 GLENMOOR RD S, CLEARWATER, FL, 33764 |
| ZIP code: | 33764 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003336181 | 2017-06-21 | 2017-06-21 | 2213 GLENMOOR RD S, CLEARWATER, FL, 337644922, US | 9555 SEMINOLE BLVD STE 104, SEMINOLE, FL, 337722522, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 816-258-0431 |
| Fax | 8666321343 |
| Phone | +1 727-394-1500 |
Authorized person
| Name | MELISSA MARIE BIBB |
| Role | OWNER |
| Phone | 8162580431 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | ARNP9400491 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ARNP9400491 |
| State | FL |
| Issuer | MEDICAID |
| Number | 01857390 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MB PRIMARY CARE 401(K) PLAN | 2023 | 821762585 | 2024-05-16 | MB PRIMARY CARE LLC | 8 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-16 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7273941500 |
| Plan sponsor’s address | 2213 GLENMOOR RD S, CLEARWATER, FL, 33764 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7273941500 |
| Plan sponsor’s address | 2213 GLENMOOR RD S, CLEARWATER, FL, 33764 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-02 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BIBB MELISSA M | Manager | 2213 GLENMOOR RD S, CLEARWATER, FL, 33764 |
| BIBB RONALD DIII | Authorized Representative | 2213 GLENMOOR RD S, CLEARWATER, FL, 33764 |
| BIBB MELISSA M | Agent | 2213 GLENMOOR RD S, CLEARWATER, FL, 33764 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-05-02 |
| ANNUAL REPORT | 2018-03-05 |
| Florida Limited Liability | 2017-05-30 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
