| Entity Name: | PRIME MD OF NAPLES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Apr 2020 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 13 Dec 2021 (3 years ago) |
| Document Number: | L20000096303 |
| FEI/EIN Number | 850629962 |
| Address: | 2515 NORTHBROOKE PLAZA DR, NAPLES, FL, 34119, US |
| Mail Address: | 2515 NORTHBROOKE PLAZA DR, NAPLES, FL, 34119, US |
| ZIP code: | 34119 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215547310 | 2020-08-04 | 2023-03-10 | 4462 KENSINGTON CIR, NAPLES, FL, 341199066, US | 2515 NORTHBROOKE PLAZA DR STE 200, NAPLES, FL, 341198088, US | |||||||||||||||||
|
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| Phone | +1 949-302-5644 |
Authorized person
| Name | DR. COSMINA ILEANA POPA |
| Role | PHYSICIAN |
| Phone | 9493025644 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| POPA COSMINA IDr. | Agent | 2515 NORTHBROOKE PLAZA DR, NAPLES, FL, 34119 |
| Name | Role | Address |
|---|---|---|
| NYE ANDRE Dr. | Manager | 2515 NORTHBROOKE PLAZA DR, NAPLES, FL, 34119 |
| POPA COSMINA iDr. | Manager | 2515 NORTHBROOKE PLAZA DR, NAPLES, FL, 34119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-12-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-12-13 | 2515 NORTHBROOKE PLAZA DR, SUITE 200, NAPLES, FL 34119 | No data |
| CHANGE OF MAILING ADDRESS | 2021-12-13 | 2515 NORTHBROOKE PLAZA DR, SUITE 200, NAPLES, FL 34119 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-12-13 | POPA, COSMINA I, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-12-13 | 2515 NORTHBROOKE PLAZA DR, SUITE 200, NAPLES, FL 34119 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-03 |
| REINSTATEMENT | 2021-12-13 |
| Florida Limited Liability | 2020-04-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
