| Entity Name: | FERRER PRIMARY CARE INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 03 Feb 2020 (5 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: | L20000040318 |
| FEI/EIN Number | 84-4793483 |
| Address: | 701 N FEDERAL HWY, 601, HALLANDALE BEACH, FL 33009 |
| Mail Address: | 701 N FEDERAL HWY, 601, HALLANDALE BEACH, FL 33009 |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336762889 | 2020-05-19 | 2021-09-25 | 701 N FEDERAL HWY # 601, HALLANDALE BEACH, FL, 330092449, US | 701 N FEDERAL HWY # 601, HALLANDALE BEACH, FL, 330092449, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 954-482-4747 |
| Fax | 9543015939 |
Authorized person
| Name | CINTHYA ROQUE |
| Role | BILLING MANAGER |
| Phone | 9544824747 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VINES, MICHAEL R | Agent | 701 N FEDERAL HWY, 601, HALLANDALE BEACH, FL 33009 |
| Name | Role | Address |
|---|---|---|
| FERRER, GUSTAVO | Manager | 701 N FEDERAL HWY, 601 HALLANDALE BEACH, FL 33009 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000070299 | PRIMARY CARE INSTITUTE OF AVENTURA | ACTIVE | 2020-06-22 | 2025-12-31 | No data | 21150 BISCAYNE BLVD, SUITE #208, AVENTURA, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-26 | 701 N FEDERAL HWY, 601, HALLANDALE BEACH, FL 33009 | No data |
| CHANGE OF MAILING ADDRESS | 2021-08-26 | 701 N FEDERAL HWY, 601, HALLANDALE BEACH, FL 33009 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-08-26 | 701 N FEDERAL HWY, 601, HALLANDALE BEACH, FL 33009 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-04-29 |
| AMENDED ANNUAL REPORT | 2021-08-26 |
| ANNUAL REPORT | 2021-02-01 |
| Florida Limited Liability | 2020-02-03 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
