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PRIMARY CARE OF ORANGE CITY LLC - Florida Company Profile

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Company Details

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 (7 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
City: Orange City
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CROKER JOHN Agent 341 W. MINNESOTA AVE, ORANGE CITY, FL, 32763
CROKER JOHN Manager 341 W. MINNESOTA AVE, ORANGE CITY, FL, 32763

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
JOHN CROKER
User ID:
P3179865

Unique Entity ID

Unique Entity ID:
LNYECKHN8HL1
CAGE Code:
9NW83
UEI Expiration Date:
2026-03-25

Business Information

Division Name:
PRIMARY CARE OF ORANGE CITY
Activation Date:
2025-03-27
Initial Registration Date:
2023-08-28

Commercial and government entity program

CAGE number:
9NW83
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-03-27
CAGE Expiration:
2030-03-27
SAM Expiration:
2026-03-25

Contact Information

POC:
JOHN CROKER

National Provider Identifier

NPI Number:
1972249530
Certification Date:
2022-06-29

Authorized Person:

Name:
JOHN CROKER
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
822080076
Plan Year:
2024
Number Of Participants:
13
Sponsors Telephone Number:

Fictitious Names

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 - 341 W MINNESOTA AVE, ORANGE CITY, FL, 32763
G18000091191 PRIMARY CARE OF ORANGE CITY EXPIRED 2018-08-15 2023-12-31 - 341 W MINNESOTA AVE, ORANGE CITY, FL, 32763--220
G17000073904 HOME DOCS FLA EXPIRED 2017-07-10 2022-12-31 - 314 W MNNESOTA AVE, ORANGE CITY, FL, 32076-3

Events

Event Type Filed Date Value Description
LC AMENDMENT AND NAME CHANGE 2018-10-04 PRIMARY CARE OF ORANGE COUNTY CITY LLC -
CHANGE OF PRINCIPAL ADDRESS 2018-10-04 135 E. MINNESOTA AVE, ORANGE CITY, FL 32763 -

Documents

Name Date
ANNUAL REPORT 2025-02-12
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

USAspending Awards / Financial Assistance

Date:
2020-06-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
5000.00
Total Face Value Of Loan:
5000.00
Date:
2020-06-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
5000.00
Total Face Value Of Loan:
5000.00
Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
7041.00
Total Face Value Of Loan:
7041.00
Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
7041.00
Total Face Value Of Loan:
7041.00
Date:
2020-04-26
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
5000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$7,041
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$7,041
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$7,112.97
Servicing Lender:
Space Coast CU
Use of Proceeds:
Payroll: $7,041

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Date of last update: 01 Aug 2025

Sources: Florida Department of State