| Entity Name: | EQUISENTIAL PRIMARY HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Aug 2018 (7 years ago) |
| Document Number: | L18000188214 |
| FEI/EIN Number | 83-1495749 |
| Address: | 2637 SW IMPORT DR, PORT SAINT LUCIE, FL, 34987, US |
| Mail Address: | 2637 SW IMPORT DR, PORT SAINT LUCIE, FL, 34987, US |
| ZIP code: | 34987 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073155107 | 2019-10-10 | 2020-05-08 | 2637 SW IMPORT DR, PORT ST LUCIE, FL, 349872056, US | 2637 SW IMPORT DR, PORT ST LUCIE, FL, 349872056, US | |||||||||||||||
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| Phone | +1 772-342-3794 |
| Fax | 7723650456 |
Authorized person
| Name | CLAUDETTE JOHNSTON-CREARY |
| Role | OWNER |
| Phone | 7723423794 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| JOHNSTON-CREARY CLAUDETTE | Nurs | 2637 SW IMPORT DR, PORT SAINT LUCIE, FL, 34987 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-28 | 7901 4TH STREET N,, SUITE 300, ST.PETERSBURG, FL 33702 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-09-01 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-09-17 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-05-01 |
| Florida Limited Liability | 2018-08-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
