Entity Name: | ADVANTAGE PRIMARY CARE, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 19 Mar 2018 (7 years ago) |
Document Number: | L18000070687 |
FEI/EIN Number | 82-4997767 |
Address: | 20212 E Pennsylvania Ave, Dunnellon, FL, 34432, US |
Mail Address: | 20212 E Pennsylvania Ave, Dunnellon, FL, 34432, US |
ZIP code: | 34432 |
County: | Marion |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1871062307 | 2018-11-14 | 2018-11-14 | 20212 E PENNSYLVANIA AVE STE B, DUNNELLON, FL, 344326032, US | 20212 E PENNSYLVANIA AVE STE B, DUNNELLON, FL, 344326032, US | |||||||||||||||
|
Phone | +1 352-484-0422 |
Fax | 3524841430 |
Authorized person
Name | MRS. TRACY L RIDDLE |
Role | OWNER/PRACTITIONER |
Phone | 3524840422 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Riddle Tracy Dr. | Agent | 20212 E Pennsylvania Ave, Dunnellon, FL, 34432 |
Name | Role | Address |
---|---|---|
RIDDLE TRACY L | Authorized Member | 8970 S. MAGNOLIA AVE, OCALA, FL, 34476 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2021-04-30 | Riddle, Tracy, Dr. | No data |
REGISTERED AGENT ADDRESS CHANGED | 2021-04-30 | 20212 E Pennsylvania Ave, Suite B, Dunnellon, FL 34432 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2019-04-25 | 20212 E Pennsylvania Ave, Suite B, Dunnellon, FL 34432 | No data |
CHANGE OF MAILING ADDRESS | 2019-04-25 | 20212 E Pennsylvania Ave, Suite B, Dunnellon, FL 34432 | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J24000015634 | ACTIVE | 1000000975274 | MARION | 2023-12-21 | 2033-12-27 | $ 361.25 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ALACHUA SERVICE CENTER, 14107 NW US HWY 441 STE 100, ALACHUA FL326156390 |
J23000184044 | TERMINATED | 1000000950475 | MARION | 2023-04-19 | 2033-04-26 | $ 937.74 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ALACHUA SERVICE CENTER, 14107 NW US HWY 441 STE 100, ALACHUA FL326156390 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-24 |
ANNUAL REPORT | 2023-05-01 |
ANNUAL REPORT | 2022-09-22 |
ANNUAL REPORT | 2021-04-30 |
ANNUAL REPORT | 2020-08-21 |
ANNUAL REPORT | 2019-04-25 |
Florida Limited Liability | 2018-03-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State