| Entity Name: | PRIMECARE FAMILY MEDICAL CENTERS OSCEOLA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PRIMECARE FAMILY MEDICAL CENTERS OSCEOLA, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 14 Dec 2017 (7 years ago) |
| Date of dissolution: | 23 Jul 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Jul 2020 (5 years ago) |
| Document Number: | L17000255840 |
| FEI/EIN Number |
82-3707187
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 217 EAST OAK ST., KISSIMMEE, FL, 34744-4503, US |
| Mail Address: | 7765 NW 48TH STREET #300, DORAL, FL, 33166, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841707171 | 2018-01-09 | 2018-01-09 | 7765 NW 48TH ST STE 300, DORAL, FL, 331665404, US | 217 E OAK ST, KISSIMMEE, FL, 347444503, US | |||||||||||||||||||||||||||
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| Phone | +1 305-442-1740 |
| Phone | +1 407-988-1035 |
| Fax | 4079881034 |
Authorized person
| Name | RENE CASANOVA |
| Role | OWNER/PRESIDENT |
| Phone | 3054421740 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME78770 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 264910101 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CASANOVA RENE MD | Manager | 7765 NW 48TH STREET #300, DORAL, FL, 33166 |
| CASANOVA RENE MD | Agent | 7765 NW 48TH STREET #300, DORAL, FL, 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-07-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-13 | 217 EAST OAK ST., KISSIMMEE, FL 34744-4503 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-13 | 7765 NW 48TH STREET #300, DORAL, FL 33166 | - |
| LC AMENDMENT | 2018-01-26 | - | - |
| LC STMNT OF RA/RO CHG | 2018-01-11 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-01-11 | CASANOVA, RENE, MD | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-07-23 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-13 |
| LC Amendment | 2018-01-26 |
| CORLCRACHG | 2018-01-11 |
| Florida Limited Liability | 2017-12-14 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
