| Entity Name: | PRIMEHEALTH PRIMARY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Apr 2021 (4 years ago) |
| Document Number: | L21000194794 |
| FEI/EIN Number | 86-3686560 |
| Mail Address: | 3014 53rd Ave. E, Bradenton, FL, 34203, US |
| Address: | 3014 53RD AVENUE EAST, BRADENTON, FL, 34203, US |
| ZIP code: | 34203 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023692043 | 2021-05-06 | 2023-12-12 | 3018 53RD AVE E, BRADENTON, FL, 342034331, US | 8927 US HIGHWAY 301 N # 210, PARRISH, FL, 342198701, US | |||||||||||||||
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| Phone | +1 941-845-4621 |
| Fax | 9418454654 |
Authorized person
| Name | DR. ALFONSO ESPINEL |
| Role | OWNER |
| Phone | 9414854621 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BLALOCK WALTERS | Agent | 802 11TH STREET WEST, BRADENTON, FL, 34205 |
| Name | Role | Address |
|---|---|---|
| ESPINEL ALFONSO | Chief Executive Officer | 3014 53RD AVENUE EAST, BRADENTON, FL, 34203 |
| Name | Role | Address |
|---|---|---|
| TRAUGER PAUL | Chief Financial Officer | 3014 53RD AVENUE EAST, BRADENTON, FL, 34203 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-09 | 3014 53RD AVENUE EAST, BRADENTON, FL 34203 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-09 | 3014 53RD AVENUE EAST, BRADENTON, FL 34203 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-03-09 |
| Florida Limited Liability | 2021-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
