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ANCHOR DIRECT PRIMARY CARE, LLC - Florida Company Profile

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Company Details

Entity Name: ANCHOR DIRECT PRIMARY CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Feb 2018 (8 years ago)
Document Number: L18000034370
FEI/EIN Number 82-4396733
Address: 1850 Lee Rd, Winter Park, FL, 32789, US
Mail Address: 1850 Lee Rd, Winter Park, FL, 32789, US
ZIP code: 32789
City: Winter Park
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RENSBERRY MATTHEW DMD Authorized Representative 1042 NORTH FERNCREEK AVE, ORLANDO, FL, 32803
LEON ERICA A Authorized Representative 1042 NORTH FERN CREEK AVE, ORLANDO, FL, 32803
CHRISTOPHER BUELVAS RMD Authorized Representative 114 Varsity Circle, ALTAMONTE SPRINGS, FL, 32714
BUELVAS ALIYA MMD Authorized Representative 114 Varsity Circle, ALTAMONTE SPRINGS, FL, 32714
BUELVAS ALIYA MESQ Agent 114 Varsity Circle, ALTAMONTE SPRINGS, FL, 32714

National Provider Identifier

NPI Number:
1245726652
Certification Date:
2024-11-11

Authorized Person:

Name:
MATTHEW RENSBERRY
Role:
PRESIDENT/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4073694236

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-29 1850 Lee Rd, Suite 134, Winter Park, FL 32789 -
CHANGE OF MAILING ADDRESS 2025-01-29 1850 Lee Rd, Suite 134, Winter Park, FL 32789 -
CHANGE OF PRINCIPAL ADDRESS 2019-04-27 2909 N Orange Ave, Suite 101, ORLANDO, FL 32804 -
CHANGE OF MAILING ADDRESS 2019-04-27 2909 N Orange Ave, Suite 101, ORLANDO, FL 32804 -
REGISTERED AGENT ADDRESS CHANGED 2019-04-27 114 Varsity Circle, ALTAMONTE SPRINGS, FL 32714 -

Documents

Name Date
ANNUAL REPORT 2025-01-29
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-02-18
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-03-18
ANNUAL REPORT 2019-04-27
Florida Limited Liability 2018-02-07

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Date of last update: 01 Aug 2025

Sources: Florida Department of State