| Entity Name: | PALMETTO PRIMARY CARE ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Sep 2019 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 30 Aug 2022 (2 years ago) |
| Document Number: | L19000242075 |
| FEI/EIN Number | 84-3313482 |
| Address: | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL 33607 |
| Mail Address: | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699318840 | 2019-10-21 | 2019-10-21 | 6101 WEBB RD STE 203, TAMPA, FL, 336152865, US | 1003 17TH ST W, PALMETTO, FL, 342213021, US | |||||||||||||||
|
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| Phone | +1 813-269-6426 |
| Fax | 8133425261 |
Authorized person
| Name | JEANINE PEREZ |
| Role | ADMIN |
| Phone | 8132696426 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| PCA TOPCO LLC | Authorized Member | 3030 N. ROCKY POINT DR., SUITE 825 TAMPA, FL 33607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000165749 | MAXHEALTH | ACTIVE | 2021-12-16 | 2026-12-31 | No data | 3030 ROCKY POINT DR, STE 825, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-08-30 | No data | No data |
| LC AMENDMENT | 2021-07-20 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-07-20 | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2021-07-20 | 3030 N. ROCKY POINT DR., SUITE 825, TAMPA, FL 33607 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-07-20 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-07-20 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-02-27 |
| LC Amendment | 2022-08-30 |
| ANNUAL REPORT | 2022-04-16 |
| LC Amendment | 2021-07-20 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-06-18 |
| Florida Limited Liability | 2019-09-25 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
