| Entity Name: | CAPE CORAL PRIMARY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 31 May 2017 (8 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L17000119211 |
| FEI/EIN Number | 82-1699596 |
| Address: | 811 DEL PRADO BOULEVARD SOUTH, CAPE CORAL, FL 33990 |
| Mail Address: | 811 DEL PRADO BOULEVARD SOUTH, CAPE CORAL, FL 33990 |
| ZIP code: | 33990 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407384795 | 2017-05-31 | 2019-06-17 | 811 DEL PRADO BLVD S, CAPE CORAL, FL, 339902666, US | 811 DEL PRADO BLVD S, CAPE CORAL, FL, 339902666, US | |||||||||||||||||
|
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| Phone | +1 239-360-2638 |
| Fax | 2393602701 |
| Phone | +1 239-360-2634 |
Authorized person
| Name | DR. ADAM HALL |
| Role | OWNER |
| Phone | 2393602638 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHAPMAN, ERICA L | Agent | 811 DEL PRADO BOULEVARD SOUTH, CAPE CORAL, FL 33990 |
| Name | Role | Address |
|---|---|---|
| HALL, ADAM | Manager | 811 DEL PRADO BOULEVARD SOUTH, CAPE CORAL, FL 33990 |
| Name | Role | Address |
|---|---|---|
| CHAPMAN, ERICA | Authorized Member | 811 DEL PRADO BOULEVARD SOUTH, CAPE CORAL, FL 33990 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000040352 | FLORIDA DIRECT PRIMARY CARE | EXPIRED | 2018-03-27 | 2023-12-31 | No data | 811 DEL PRADO BLVD S, CAPE CORAL, FL, 33990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| LC AMENDMENT | 2017-09-29 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-09-29 | 811 DEL PRADO BOULEVARD SOUTH, CAPE CORAL, FL 33990 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-09-29 | CHAPMAN, ERICA L | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-11 |
| LC Amendment | 2017-09-29 |
| Florida Limited Liability | 2017-05-31 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
