| Entity Name: | PRIMARY CARE OF ORANGE CITY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jul 2017 (8 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 04 Oct 2018 (6 years ago) |
| Document Number: | L17000145652 |
| FEI/EIN Number | 82-2080076 |
| Address: | 135 E. MINNESOTA AVE, ORANGE CITY, FL, 32763, US |
| Mail Address: | 341 W. MINNESOTA AVE, ORANGE CITY, FL, 32763, US |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972249530 | 2022-05-06 | 2022-06-29 | 341 W MINNESOTA AVE, ORANGE CITY, FL, 327632205, US | 135 E MINNESOTA AVE, ORANGE CITY, FL, 327632312, US | |||||||||||||||||
|
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| Phone | +1 386-316-5439 |
Authorized person
| Name | JOHN CROKER |
| Role | CEO |
| Phone | 3864733553 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CROKER JOHN | Agent | 341 W. MINNESOTA AVE, ORANGE CITY, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| CROKER JOHN | Manager | 341 W. MINNESOTA AVE, ORANGE CITY, FL, 32763 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000051610 | HOME WOUND CARE OF FLORIDA | ACTIVE | 2022-04-23 | 2027-12-31 | No data | 341 W MINNESOTA AVE, ORANGE CITY, FL, 32763 |
| G18000091191 | PRIMARY CARE OF ORANGE CITY | EXPIRED | 2018-08-15 | 2023-12-31 | No data | 341 W MINNESOTA AVE, ORANGE CITY, FL, 32763--220 |
| G17000073904 | HOME DOCS FLA | EXPIRED | 2017-07-10 | 2022-12-31 | No data | 314 W MNNESOTA AVE, ORANGE CITY, FL, 32076-3 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2018-10-04 | PRIMARY CARE OF ORANGE COUNTY CITY LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-10-04 | 135 E. MINNESOTA AVE, ORANGE CITY, FL 32763 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-03-04 |
| ANNUAL REPORT | 2022-02-18 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-01-17 |
| LC Amendment and Name Change | 2018-10-04 |
| AMENDED ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2018-01-24 |
| Florida Limited Liability | 2017-07-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
