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PRIME CARE VIP LLC

Company Details

Entity Name: PRIME CARE VIP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Nov 2020 (4 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 19 Mar 2024 (a year ago)
Document Number: L20000346806
FEI/EIN Number 85-3894454
Address: 10055 YAMATO RD, BOCA RATON, FL, 33498, US
Mail Address: 10055 YAMATO RD, BOCA RATON, FL, 33498, US
ZIP code: 33498
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154162493 2024-06-03 2024-06-03 10055 YAMATO RD STE 115, BOCA RATON, FL, 334986102, US 10055 YAMATO RD STE 115, BOCA RATON, FL, 334986102, US

Contacts

Phone +1 561-948-2020

Authorized person

Name MR. MICHAEL LAWRENCE KIEFFER
Role CEO
Phone 5619482020

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
KIEFFER LAINEY ZDR. Agent 10055 YAMATO RD, BOCA RATON, FL, 33498

Manager

Name Role Address
KIEFFER LAINEY ZDR. Manager 10055 YAMATO RD, BOCA RATON, FL, 33498
KIEFFER MICHAEL LMR. Manager 10055 YAMATO RD, BOCA RATON, FL, 33498

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-02 10055 YAMATO RD, STE 115, BOCA RATON, FL 33498 No data
LC NAME CHANGE 2024-03-19 PRIME CARE VIP LLC No data
CHANGE OF PRINCIPAL ADDRESS 2024-03-19 10055 YAMATO RD, STE 115, BOCA RATON, FL 33498 No data
CHANGE OF MAILING ADDRESS 2024-03-19 10055 YAMATO RD, STE 115, BOCA RATON, FL 33498 No data
REINSTATEMENT 2022-09-30 No data No data
REGISTERED AGENT NAME CHANGED 2022-09-30 KIEFFER, LAINEY Z, DR. No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-02
LC Name Change 2024-03-19
ANNUAL REPORT 2023-03-06
AMENDED ANNUAL REPORT 2022-12-20
REINSTATEMENT 2022-09-30
ANNUAL REPORT 2021-04-26
Florida Limited Liability 2020-11-02

Date of last update: 02 Feb 2025

Sources: Florida Department of State