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CORNERSTONE PRIMARY CARE, LLC - Florida Company Profile

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Company Details

Entity Name: CORNERSTONE PRIMARY CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Feb 2020 (6 years ago)
Document Number: L20000057991
FEI/EIN Number 84-4802858
Mail Address: 12470 TELECOM DRIVE, SUITE 301, ATTN: LEGAL, TEMPLE TERRACE, FL, 33637, US
Address: 2445 LANE PARK ROAD, TAVARES, FL, 32778, US
ZIP code: 32778
City: Tavares
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Member -
MOLOSKY ANDREW K Agent 12470 TELECOM DRIVE, SUITE 301, TEMPLE TERRACE, FL, 33637

National Provider Identifier

NPI Number:
1386278828
Certification Date:
2020-12-30

Authorized Person:

Name:
CHARLES LEE
Role:
MANAGER/CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3523436115

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-04-28 2445 LANE PARK ROAD, TAVARES, FL 32778 -
REGISTERED AGENT NAME CHANGED 2023-04-28 MOLOSKY, ANDREW K -
REGISTERED AGENT ADDRESS CHANGED 2023-04-28 12470 TELECOM DRIVE, SUITE 301, ATTN: LEGAL, TEMPLE TERRACE, FL 33637 -

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-03-04
Florida Limited Liability 2020-02-20

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Date of last update: 01 Aug 2025

Sources: Florida Department of State