| Entity Name: | WELLINGTON PRIMARY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Jun 2020 (5 years ago) |
| Document Number: | L20000174156 |
| FEI/EIN Number | N/A |
| Address: | 12989 SOUTHERN BLVD, STE 204, LOXAHATCHEE, FL 33470 |
| Mail Address: | 12989 SOUTHERN BLVD, STE 204, LOXAHATCHEE, FL 33470 |
| ZIP code: | 33470 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922625060 | 2020-07-05 | 2020-07-05 | 12959 PALMS WEST DR STE 210, LOXAHATCHEE, FL, 334704940, US | 12959 PALMS WEST DR STE 210, LOXAHATCHEE, FL, 334704940, US | |||||||||||||
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| Phone | +1 561-334-8988 |
Authorized person
| Name | DR. EDITHA PANGAN |
| Role | MANAGING MEMBER |
| Phone | 5613348988 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PANGAN, EDITHA A | Agent | 12989 SOUTHERN BLVD, STE 204, LOXAHATCHEE, FL 33470 |
| Name | Role | Address |
|---|---|---|
| PANGAN, EDITHA | Manager | 12989 SOUTHERN BLVD, LOXAHATCHEE, FL 33470 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-02-04 |
| Florida Limited Liability | 2020-06-23 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
