| Entity Name: | VG PRIMARY CARE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jan 2021 (4 years ago) |
| Document Number: | L21000003515 |
| FEI/EIN Number | 86-1376349 |
| Address: | 5285 Summerlin Road, Fort Myers, FL, 33919, US |
| Mail Address: | 5285 Summerlin Road, Fort Myers, FL, 33919, US |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003406851 | 2021-01-25 | 2021-10-21 | 5285 SUMMERLIN RD STE 101, FORT MYERS, FL, 339197601, US | 5285 SUMMERLIN RD STE 101, FORT MYERS, FL, 339197601, US | |||||||||||||||||
|
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| Phone | +1 239-789-2201 |
| Fax | 7272221077 |
| Phone | +1 978-495-0389 |
Authorized person
| Name | DR. VIKTI GOSALIA |
| Role | OWNER |
| Phone | 9784950389 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MINCK LINDA R | Agent | 5629 STRAND BLVD STE 405, NAPLES, FL, 34110 |
| Name | Role | Address |
|---|---|---|
| GOSALIA VIKTI | Manager | 5285 Summerlin Road, Fort Myers, FL, 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-10 | 5285 Summerlin Road, 101, Fort Myers, FL 33919 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-10 | 5285 Summerlin Road, 101, Fort Myers, FL 33919 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-02-10 |
| Florida Limited Liability | 2021-01-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
