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PRIMARY CARE NURSE PRACTITIONERS LLC - Florida Company Profile

Company Details

Entity Name: PRIMARY CARE NURSE PRACTITIONERS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PRIMARY CARE NURSE PRACTITIONERS LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 01 Jun 2021 (4 years ago)
Date of dissolution: 15 Jan 2025 (3 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 15 Jan 2025 (3 months ago)
Document Number: L21000253444
FEI/EIN Number 88-2327800

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1341 john white rd, Defuniak Springs, FL, 32435, US
Mail Address: 10226 Curry Ford Rd #107, ORLANDO, FL, 32825, US
ZIP code: 32435
County: Walton
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811618382 2022-09-05 2022-09-05 2208 KENTUCKY DERBY DR, ORLANDO, FL, 328258751, US 2208 KENTUCKY DERBY DR, ORLANDO, FL, 328258751, US

Contacts

Phone +1 407-579-1450

Authorized person

Name MS. TERRY GAYE CLEMONS
Role APRN
Phone 4075791450

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Key Officers & Management

Name Role Address
Lee Pamela Y President 1341 john white rd, Defuniak Springs, FL, 32435
CLEMONS TERRY President 2208 KENTUCKY DERBY DRIVE, ORLANDO, FL, 32825
LEE PAMELA Y Agent 1341 john white rd, Defuniak Springs, FL, 32435

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000066360 AT HOME NURSE PRACTITIONERS ACTIVE 2022-05-30 2027-12-31 - 861 GALWAY BLVD, APOPKA, FL, 32703
G22000064055 SKINNY ME ACTIVE 2022-05-23 2027-12-31 - 861 GALWAY BLVD, APOPKA, FL, 32703

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2025-01-15 - -
CHANGE OF MAILING ADDRESS 2023-07-18 1341 john white rd, Defuniak Springs, FL 32435 -
CHANGE OF PRINCIPAL ADDRESS 2023-03-02 1341 john white rd, Defuniak Springs, FL 32435 -
REGISTERED AGENT ADDRESS CHANGED 2023-03-02 1341 john white rd, Defuniak Springs, FL 32435 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2025-01-15
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-04-24
Florida Limited Liability 2021-06-01

Date of last update: 02 Apr 2025

Sources: Florida Department of State