| Entity Name: | PCC MEDICAL HOLDINGS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Jun 2019 (6 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 18 Apr 2022 (3 years ago) |
| Document Number: | L19000166399 |
| FEI/EIN Number | 84-2342292 |
| Address: | 1732 S. CONGRESS AVE, SUITE 346, PALM SPRINGS, FL 33461 |
| Mail Address: | 1732 S. CONGRESS AVE, SUITE 346, PALM SPRINGS, FL 33461 |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174167993 | 2019-11-05 | 2024-04-04 | 1732 S CONGRESS AVE STE 346, PALM SPRINGS, FL, 334612140, US | 5055 SOUTH CONGRESS AVENUE, SUITE 303, LAKE WORTH, FL, 33461, US | |||||||||||||||||||||||
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| Phone | +1 561-385-0731 |
| Fax | 5616297302 |
Authorized person
| Name | WILLIAM STEELE |
| Role | CEO |
| Phone | 5613850731 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PCC MEDICAL HOLDINGS LLC 401K PLAN | 2020 | 842342292 | 2021-07-01 | PCC MEDICAL HOLDINGS LLC | 104 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-07-01 |
| Name of individual signing | CHERI DEUTCH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 5613531225 |
| Plan sponsor’s address | 1732 S CONGRESS AVE, SUITE 346, PALM SPRINGS, FL, 33461 |
Signature of
| Role | Plan administrator |
| Date | 2020-11-13 |
| Name of individual signing | TONI TERESI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| STEELE, WILLIAM | Agent | 1732 S. CONGRESS AVE, SUITE 346, PALM SPRINGS, FL 33461 |
| Name | Role | Address |
|---|---|---|
| STEELE, WILLIAM | Manager | 1732 S. CONGRESS AVE, SUITE 346, PALM SPRINGS, FL 33461 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000055710 | PHYSICIAN CARE CENTERS | ACTIVE | 2023-05-02 | 2028-12-31 | No data | 1732 S. CONGRESS AVE STE. 346, PALM SPRINGS, FL, 33461 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2022-04-18 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 2. MERGER NUMBER 700000225617 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-04-21 |
| Merger | 2022-04-18 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-05-03 |
| ANNUAL REPORT | 2020-04-15 |
| Florida Limited Liability | 2019-06-25 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
