| Entity Name: | MEDI PRIME CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 May 2019 (6 years ago) |
| Document Number: | L19000142848 |
| FEI/EIN Number | 84-2024516 |
| Address: | 109 MARGARET ST, BRANDON, FL 33511 |
| Mail Address: | 109 MARGARET ST, BRANDON, FL 33511 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861026833 | 2020-02-27 | 2020-02-27 | 109 MARGARET ST, BRANDON, FL, 335115203, US | 1450 COURT ST, CLEARWATER, FL, 337566160, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 813-235-4090 |
| Fax | 8137743804 |
| Phone | +1 727-222-6016 |
Authorized person
| Name | DR. FRANCIS A CABAN |
| Role | OWNER |
| Phone | 8134827540 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CABAN, FRANCIS A, MD | Agent | 109 MARGARET ST, BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| CABAN, ANA M | Authorized Member | 109 MARGARET ST, BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| CABAN, FRANCIS A, MD | Manager | 109 MARGARET ST, BRANDON, FL 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-09-01 | CABAN, FRANCIS A, MD | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-08 | 109 MARGARET ST, BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-08 | 109 MARGARET ST, BRANDON, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-03-23 |
| AMENDED ANNUAL REPORT | 2020-09-01 |
| ANNUAL REPORT | 2020-01-08 |
| Florida Limited Liability | 2019-05-29 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
