| Entity Name: | PRIMARY CARE OF THE GULF COAST, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 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: | L20000060918 |
| FEI/EIN Number | 85-0790142 |
| Address: | 7905 HUNTINGTON CREEK LN, PENSACOLA, FL, 32526, US |
| Mail Address: | 7905 HUNTINGTON CREEK LN, PENSACOLA, FL, 32526, US |
| ZIP code: | 32526 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609497726 | 2020-04-29 | 2020-04-29 | 7905 HUNTINGTON CREEK LN, PENSACOLA, FL, 325264470, US | 235 W AIRPORT BLVD, PENSACOLA, FL, 325052239, US | |||||||||||||||||||||||||
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| Phone | +1 850-341-4151 |
| Phone | +1 850-857-5200 |
| Fax | 8504772235 |
Authorized person
| Name | JODILYN HOLZ |
| Role | MGR |
| Phone | 8503414151 |
Taxonomy
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LG0600X - Gerontology Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HOLZ JODILYN | Agent | 7905 HUNTINGTON CREEK LN, PENSACOLA, FL, 32526 |
| Name | Role | Address |
|---|---|---|
| HOLZ JODILYN | Manager | 7905 HUNTINGTON CREEK LN, PENSACOLA, FL, 32526 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-07-15 |
| ANNUAL REPORT | 2021-03-10 |
| Florida Limited Liability | 2020-02-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
