| Entity Name: | PLATINUM PRIMARY CARE PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Aug 2020 (5 years ago) |
| Document Number: | L20000239432 |
| FEI/EIN Number | 85-2595613 |
| Address: | 2071 Dundee Drive., WINTER PARK, FL, 32792, US |
| Mail Address: | 2071 Dundee Drive, Winter Park, FL, 32792, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861007726 | 2020-09-08 | 2021-06-01 | 2071 DUNDEE DR, WINTER PARK, FL, 327924104, US | 2071 DUNDEE DR, WINTER PARK, FL, 327924104, US | |||||||||||||
|
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| Phone | +1 347-681-4136 |
Authorized person
| Name | ASHA TOTA-MAHARAJ |
| Role | OWNER/PROVIDER |
| Phone | 3476814136 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TOTA-MAHARAJ ASHA | Agent | 2071 Dundee Drive, Winter Park, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| Tota-Maharaj Asha | Manager | 2071 Dundee Drive, Winter Park, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-01-12 | 2071 Dundee Drive., WINTER PARK, FL 32792 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-12 | 2071 Dundee Drive, Winter Park, FL 32792 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-05 | 2071 Dundee Drive., WINTER PARK, FL 32792 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-12 |
| ANNUAL REPORT | 2021-02-03 |
| Florida Limited Liability | 2020-08-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
