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FLORIDA PRIMARY CARE PARTNERS, LLC

Company Details

Entity Name: FLORIDA PRIMARY CARE PARTNERS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Apr 2020 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 07 Dec 2022 (2 years ago)
Document Number: L20000116815
FEI/EIN Number 90-1779960
Address: 603 N. FLAMINGO ROAD, 150, PEMBROKE PINES, FL, 33433, US
Mail Address: 603 N. FLAMINGO ROAD, 150, PEMBROKE PINES, FL, 33433, US
ZIP code: 33433
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548866858 2020-12-10 2023-10-19 8080 PASADENA BLVD, PEMBROKE PINES, FL, 330243537, US 8080 PASADENA BLVD, PEMBROKE PINES, FL, 330243537, US

Contacts

Phone +1 954-951-0990
Fax 9549009221

Authorized person

Name MIAN HASAN
Role CEO
Phone 9549510990

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
HASAN MIAN A Agent 333 LAS OLAS WAY, FORT LAUDERDALE, FL, 33301

Manager

Name Role
VANGUARD MEDICAL GROUP LLC Manager

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-12-07 No data No data
REGISTERED AGENT NAME CHANGED 2022-12-07 HASAN, MIAN A No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-03-30
REINSTATEMENT 2022-12-07
ANNUAL REPORT 2021-04-28
Florida Limited Liability 2020-04-30

Date of last update: 02 Feb 2025

Sources: Florida Department of State