| Entity Name: | PRIMARY CARE SPECIALISTS OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
PRIMARY CARE SPECIALISTS OF FLORIDA, 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. |
| 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: | 08 Jun 2021 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Mar 2023 (2 years ago) |
| Document Number: | L21000267224 |
| FEI/EIN Number |
87-1123140
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2642 FAWNLAKE TRAIL, ORLANDO, FL 32828 |
| Mail Address: | 2642 FAWNLAKE TRAIL, ORLANDO, FL 32828 |
| ZIP code: | 32828 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235808817 | 2021-09-08 | 2021-10-27 | 721 W COLONIAL DR, ORLANDO, FL, 328047309, US | 721 W COLONIAL DR, ORLANDO, FL, 328047309, US | |||||||||||||||||||
|
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| Phone | +1 407-735-6735 |
Authorized person
| Name | DR. ALEXANDER FISHBERG |
| Role | PHYSICIAN |
| Phone | 4077396635 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 274928900 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRIMARY CARE SPECIALISTS OF FLORIDA, LLC 401(K) PLAN | 2021 | 871123140 | 2023-02-15 | PRIMARY CARE SPECIALISTS OF FLORIDA, LLC | 0 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| Seela, srinivas | Agent | 2642 Fawnlake Trail, Orlando, FL 32828 |
| PRIMARY CARE SPECIALISTS, LLC | Manager | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-03-01 | - | - |
| REGISTERED AGENT NAME CHANGED | 2023-03-01 | Seela, srinivas | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-01 | 2642 Fawnlake Trail, Orlando, FL 32828 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| LC AMENDMENT | 2021-07-09 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| AMENDED ANNUAL REPORT | 2023-04-09 |
| REINSTATEMENT | 2023-03-01 |
| LC Amendment | 2021-07-09 |
| Florida Limited Liability | 2021-06-08 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
