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ISLAND DIRECT PRIMARY CARE LLC - Florida Company Profile

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Company Details

Entity Name: ISLAND DIRECT PRIMARY CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Oct 2018 (7 years ago)
Document Number: L18000233159
FEI/EIN Number 83-2113680
Address: 410 w merritt avenue, MERRITT ISLAND, FL, 32953, US
Mail Address: 410 w merritt avenue, MERRITT ISLAND, FL, 32953, US
ZIP code: 32953
City: Merritt Island
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Rothwell John WDr. President 210 Hickory Avenue, Merritt Island, FL, 32953
Rothwell Wendy L Secretary 210 Hickory Avenue, Merritt Island, FL, 32953
ROTHWELL III JOHN W Agent 210 Hickory Avenue, Merritt Island, FL, 32953

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
321-350-0008
Contact Person:
JOHN ROTHWELL
Ownership and Self-Certifications:
Hispanic American, Other Minority Owned, Self-Certified Small Disadvantaged Business, Service-Disabled Veteran, Veteran
User ID:
P3195977

Unique Entity ID

Unique Entity ID:
SFLJXDAVG7Z8
CAGE Code:
9Q340
UEI Expiration Date:
2025-12-27

Business Information

Division Name:
ISLAND DIRECT PRIMARY CARE LLC
Activation Date:
2024-12-31
Initial Registration Date:
2023-10-09

Commercial and government entity program

CAGE number:
9Q340
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-12-31
CAGE Expiration:
2029-12-31
SAM Expiration:
2025-12-27

Contact Information

POC:
JOHN W. ROTHWELL
Corporate URL:
https://www.islanddpc.com

National Provider Identifier

NPI Number:
1811463961
Certification Date:
2022-03-27

Authorized Person:

Name:
DR. JOHN WESLEY ROTHWELL III
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000144857 JWSOLUTIONS GROUP ACTIVE 2024-11-29 2029-12-31 - 410 W MERRITT AVE, MERRITT ISLAND, FL, 32953
G24000056337 PRECISION 360 WELLNESS ACTIVE 2024-04-29 2029-12-31 - 410 W MERRITT AVE, MERRITT ISLAND, FL, 32953
G23000057648 MAIN STREET DIRECT PRIMARY CARE LLC ACTIVE 2023-05-07 2028-12-31 - 410 W MERRITT AVE, MERRITT ISLAND, FL, 32953

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-10 410 w merritt avenue, MERRITT ISLAND, FL 32953 -
CHANGE OF MAILING ADDRESS 2022-01-10 410 w merritt avenue, MERRITT ISLAND, FL 32953 -
REGISTERED AGENT ADDRESS CHANGED 2019-04-11 210 Hickory Avenue, Merritt Island, FL 32953 -

Documents

Name Date
ANNUAL REPORT 2024-03-08
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-04-11
Florida Limited Liability 2018-10-02

USAspending Awards / Financial Assistance

Date:
2020-06-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
29400.00
Total Face Value Of Loan:
29400.00
Date:
2020-06-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
29400.00
Total Face Value Of Loan:
29400.00
Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 03 Aug 2025

Sources: Florida Department of State