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SANTOS PRIMARY CARE MEDICAL CLINICS, LLC - Florida Company Profile

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Company Details

Entity Name: SANTOS PRIMARY CARE MEDICAL CLINICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 May 2018 (7 years ago)
Last Event: LC AMENDED/RESTATED ARTICLE/NAME CHANGE
Event Date Filed: 30 Apr 2020 (5 years ago)
Document Number: L18000131478
FEI/EIN Number 83-0787459
Address: 17820 SE 109th Ave, SUMMERFIELD, FL, 34491, US
Mail Address: 17820 SE 109th Ave, SUMMERFIELD, FL, 34491, US
ZIP code: 34491
City: Summerfield
County: Marion
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SANTOS TRENNA Manager 10710 NE 27TH ST, OXFORD, FL, 34484
RUSS ANNALEE Manager 2614 54th Ave NE, Naples, FL, 34120
Santos Trenna Agent 17820 SE 109th Ave, SUMMERFIELD, FL, 34491

Unique Entity ID

CAGE Code:
8EXU3
UEI Expiration Date:
2020-10-30

Business Information

Doing Business As:
SANTOS PRIMARY CARE
Division Name:
SANTOS PRIMARY CARE MEDICAL CLINICS, PLLC
Division Number:
SANTOS PRI
Activation Date:
2019-11-14
Initial Registration Date:
2019-10-24

Commercial and government entity program

CAGE number:
8EXU3
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-07-11
CAGE Expiration:
2025-08-10
SAM Expiration:
2022-02-06

Contact Information

POC:
JANAE A. SANTOS

National Provider Identifier

NPI Number:
1104311315
Certification Date:
2022-04-05

Authorized Person:

Name:
ADAMASTOR SANTOS
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3525040901

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000046711 SANTOS PRIMARY AND URGENT CARE ACTIVE 2022-04-12 2027-12-31 - 17820 SE 109TH AVE STE 108, SUMMERFIELD, FL, 34491

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-05 Santos, Trenna -
REGISTERED AGENT ADDRESS CHANGED 2023-04-05 17820 SE 109th Ave, STE 108, SUMMERFIELD, FL 34491 -
CHANGE OF PRINCIPAL ADDRESS 2022-05-10 17820 SE 109th Ave, STE 108, SUMMERFIELD, FL 34491 -
CHANGE OF MAILING ADDRESS 2022-05-10 17820 SE 109th Ave, STE 108, SUMMERFIELD, FL 34491 -
LC AMENDED/RESTATED ARTICLE/NAME CHANGE 2020-04-30 SANTOS PRIMARY CARE MEDICAL CLINICS, LLC -

Documents

Name Date
ANNUAL REPORT 2024-03-26
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-02-28
AMENDED ANNUAL REPORT 2021-04-16
AMENDED ANNUAL REPORT 2021-02-22
ANNUAL REPORT 2021-02-20
ANNUAL REPORT 2020-06-29
LC Amended/Restated Article/NC 2020-04-30
ANNUAL REPORT 2019-04-25
Florida Limited Liability 2018-05-25

USAspending Awards / Financial Assistance

Date:
2020-06-08
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:
0.01
Total Face Value Of Loan:
19966.28
Date:
2020-05-22
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:
37500.00
Total Face Value Of Loan:
19966.28

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$37,500
Date Approved:
2020-05-22
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$19,966.28
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$20,169.27
Servicing Lender:
Truist Bank
Use of Proceeds:
Payroll: $19,966.28

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Date of last update: 03 Aug 2025

Sources: Florida Department of State