| Entity Name: | AMG PRIMARY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 May 2020 (5 years ago) |
| Document Number: | L20000121227 |
| FEI/EIN Number | 85-0985613 |
| Address: | 7345 Osprey Landing Pointe, Lakeland, FL, 33813, US |
| Mail Address: | 7345 Osprey Landing Pointe, Lakeland, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831711605 | 2020-05-14 | 2020-05-14 | PO BOX 2003, VALRICO, FL, 335952003, US | 2533 CROSS MORE ST, VALRICO, FL, 335944640, US | |||||||||||||
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| Phone | +1 813-444-8498 |
Authorized person
| Name | MRS. MERCY GEEVARGHESE |
| Role | CEO |
| Phone | 8134448498 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GEEVARGHESE MERCY | Agent | 7345 Osprey Landing Pointe, Lakeland, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| GEEVARGHESE MERCY | Manager | 7345 Osprey Landing Pointe, Lakeland, FL, 33813 |
| GEEVARGHESE GIBU | Manager | 7345 Osprey Landing Pointe, Lakeland, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-01-12 | 7345 Osprey Landing Pointe, Lakeland, FL 33813 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-12 | 7345 Osprey Landing Pointe, Lakeland, FL 33813 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-23 | 7345 Osprey Landing Pointe, Lakeland, FL 33813 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-23 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-01-18 |
| ANNUAL REPORT | 2021-01-12 |
| Florida Limited Liability | 2020-05-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
