| Entity Name: | CONCIERGE PRIMARY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Apr 2020 (5 years ago) |
| Document Number: | L20000109734 |
| FEI/EIN Number | 850790807 |
| Address: | 2900 N. MILITARY TRAIL, SUITE 245, BOCA RATON, FL, 33431, US |
| Mail Address: | 7050 W. PALMETTO PARK ROAD, 15-513, BOCA RATON, FL, 33433, US |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760009138 | 2020-07-01 | 2022-02-10 | 7050 W PALMETTO PARK RD # 15-513, BOCA RATON, FL, 334333426, US | 9500 NW 49TH CT, CORAL SPRINGS, FL, 330762465, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 954-501-3861 |
| Fax | 6083058874 |
Authorized person
| Name | TIFFANY WILLIAMSON |
| Role | SOLE PROPRIETOR |
| Phone | 9545013861 |
Taxonomy
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILLIAMSON TIFFANY A | Agent | 9500 nw 49th court, Coral Springs, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| WILLIAMSON TIFFANY | President | 7050 W. PALMETTO PARK ROAD SUITE 15-513, BOCA RATON, 33433 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-06 | 9500 nw 49th court, Coral Springs, FL 33076 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-07 | 2900 N. MILITARY TRAIL, SUITE 245, BOCA RATON, FL 33431 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-05-03 |
| ANNUAL REPORT | 2021-02-03 |
| Florida Limited Liability | 2020-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
