| Entity Name: | PRIMARY CARE 369, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Apr 2019 (6 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 10 Jun 2019 (6 years ago) |
| Document Number: | L19000099635 |
| FEI/EIN Number | 84-2210341 |
| Address: | 9980 CENTRAL PARK BLVD N. STE 314, BOCA RATON, FL, 33428 |
| Mail Address: | 9980 CENTRAL PARK BLVD N. STE 314, BOCA RATON, FL, 33428 |
| ZIP code: | 33428 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760034300 | 2019-07-14 | 2019-12-05 | 8990 LAKEVIEW PL, PARKLAND, FL, 330764122, US | 9980 CENTRAL PARK BLVD N STE 314, BOCA RATON, FL, 334281704, US | |||||||||||||||
|
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| Phone | +1 954-801-5172 |
| Phone | +1 561-315-0198 |
Authorized person
| Name | DR. GAYATRI SIRAM |
| Role | OWNER |
| Phone | 5613150198 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SIRAM GAYATRI | Agent | 9980 CENTRAL PARK BLVD N. STE 314, BOCA RATON, FL, 33428 |
| Name | Role | Address |
|---|---|---|
| SIRAM GAYATRI | Authorized Member | 9980 CENTRAL PARK BLVD N. STE 314, BOCA RATON, FL, 33428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2019-06-10 | PRIMARY CARE 369, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-03-17 |
| LC Name Change | 2019-06-10 |
| Florida Limited Liability | 2019-04-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
