| Entity Name: | INTERNAL MEDICINE PRIME CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Jan 2021 (4 years ago) |
| Document Number: | L21000034209 |
| FEI/EIN Number | 861865163 |
| Address: | 8927 HYPOLUXO RD, STE A3, LAKE WORTH, FL, 33467, US |
| Mail Address: | 8927 HYPOLUXO RD, STE A3, LAKE WORTH, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861087744 | 2021-03-03 | 2022-10-11 | 8927 HYPOLUXO RD. STE A3, LAKE WORTH, FL, 33467, US | 8927 HYPOLUXO RD. STE A3, LAKE WORTH, FL, 33467, US | |||||||||||||||
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| Phone | +1 561-366-7771 |
| Fax | 5618552718 |
Authorized person
| Name | ORLANDO A. CUADRA |
| Role | OWNER/PROVIDER |
| Phone | 5613667771 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CUADRA ORLANDO AMD | Agent | 8927 HYPOLUXO RD, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| CUADRA ORLANDO AMD | Director | 8784 S KENDALE CIR, LAKE WORTH, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-08 | 8927 HYPOLUXO RD, STE A3, LAKE WORTH, FL 33467 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-08 | 8927 HYPOLUXO RD, STE A3, LAKE WORTH, FL 33467 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-29 | 8927 HYPOLUXO RD, STE A3, LAKE WORTH, FL 33467 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-08 |
| Florida Limited Liability | 2021-01-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
