Entity Name: | PRIMARY CARE SOLUTIONS MEDICAL CENTERS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 03 Jun 2019 (6 years ago) |
Date of dissolution: | 27 Sep 2024 (4 months ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2024 (4 months ago) |
Document Number: | L19000142972 |
FEI/EIN Number | 84-2006490 |
Address: | 2280 W ATLANTIC AVE, DELRAY PHYSICIAN CARE CENTER, Delray Beach, FL, 33445-4637, US |
Mail Address: | 2280 W ATLANTIC AVE, DELRAY PHYSICIAN CARE CENTER, Delray Beach, FL, 33445-4637, US |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1578123675 | 2019-06-19 | 2020-01-21 | 625 SE 2ND AVE STE C, BOYNTON BEACH, FL, 334355065, US | 625 SE 2ND AVE STE C, BOYNTON BEACH, FL, 334355065, US | |||||||||||||||
|
Phone | +1 561-364-0404 |
Fax | 5613647787 |
Authorized person
Name | DR. NICOLE B THOMAS |
Role | MEDICAL DIRECTOR |
Phone | 5613640404 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Seide Marie | Agent | 2280 W ATLANTIC AVE, Delray Beach, FL, 334454637 |
Name | Role | Address |
---|---|---|
SEIDE MARIE K | Manager | 2280 W ATLANTIC AVE, Delray Beach, FL, 334454637 |
Name | Role | Address |
---|---|---|
Thomas Nicole B | Member | 8017 Tangelo Dr., Boynton Beach, FL, 33436 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G20000162968 | DELRAY PHYSICIAN CARE CENTER | ACTIVE | 2020-12-23 | 2025-12-31 | No data | C/O NICOLE THOMAS, 625 SE 2ND AVENUE, SUITE C, BOYNTON BEACH, FL, 33435 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2022-04-28 | 2280 W ATLANTIC AVE, DELRAY PHYSICIAN CARE CENTER, Delray Beach, FL 33445-4637 | No data |
CHANGE OF MAILING ADDRESS | 2022-04-28 | 2280 W ATLANTIC AVE, DELRAY PHYSICIAN CARE CENTER, Delray Beach, FL 33445-4637 | No data |
REGISTERED AGENT NAME CHANGED | 2022-04-28 | Seide, Marie | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-04-28 | 2280 W ATLANTIC AVE, DELRAY PHYSICIAN CARE CENTER, Delray Beach, FL 33445-4637 | No data |
LC AMENDMENT | 2019-06-25 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2023-02-21 |
ANNUAL REPORT | 2022-04-28 |
ANNUAL REPORT | 2021-07-27 |
AMENDED ANNUAL REPORT | 2020-10-08 |
ANNUAL REPORT | 2020-01-10 |
LC Amendment | 2019-06-25 |
Florida Limited Liability | 2019-06-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State