| Entity Name: | PARTNERS IN COMMUNITY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Jan 2020 (5 years ago) |
| Document Number: | L20000036783 |
| FEI/EIN Number | 84-5166002 |
| Address: | 4154 San Ysidro Way, Rockledge, FL 32955 |
| Mail Address: | 4154 San Ysidro Way, Rockledge, FL 32955 |
| ZIP code: | 32955 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700412814 | 2020-03-20 | 2024-03-05 | 4154 SAN YSIDRO WAY, ROCKLEDGE, FL, 329555336, US | 4154 SAN YSIDRO WAY, ROCKLEDGE, FL, 329555336, US | |||||||||||||||
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| Phone | +1 321-241-6244 |
| Fax | 8333010862 |
Authorized person
| Name | MS. KELLY ALISE WEY |
| Role | OWNER/OPERATOR |
| Phone | 3212437060 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WEY, KELLY A | Agent | 4154 San Ysidro Way, Rockledge, FL 32955 |
| Name | Role | Address |
|---|---|---|
| WEY, KELLY A | Manager | 4154 San Ysidro Way, Rockledge, FL 32955 |
| Name | Role | Address |
|---|---|---|
| WEY, KELLY A | Authorized Managing Member | 4154 San Ysidro Way, Rockledge, FL 32955 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000044906 | PARTNERS IN COMMUNITY CARE, LLC | ACTIVE | 2020-04-23 | 2025-12-31 | No data | 445 PINEDA COURT, MELBOURNE, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-25 | 4154 San Ysidro Way, Rockledge, FL 32955 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-25 | 4154 San Ysidro Way, Rockledge, FL 32955 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-25 | 4154 San Ysidro Way, Rockledge, FL 32955 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-14 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-02-02 |
| Florida Limited Liability | 2020-01-30 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
