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PRIVECARERX LLC - Florida Company Profile

Company Details

Entity Name: PRIVECARERX LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PRIVECARERX 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 Oct 2021 (3 years ago)
Last Event: LC AMENDMENT AND NAME CHANGE
Event Date Filed: 10 Jul 2023 (2 years ago)
Document Number: L21000430796
FEI/EIN Number 87-2952144

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

Address: 2020 PONCE DE LEON BLVD, MIAMI, FL, 33134, US
Mail Address: 13750 SW 116th Terrace, MIAMI, FL, 33186, US
ZIP code: 33134
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669155487 2023-08-09 2023-10-06 2020 PONCE DE LEON BLVD STE 105, CORAL GABLES, FL, 331344475, US 2020 PONCE DE LEON BLVD STE 105, CORAL GABLES, FL, 331344475, US

Contacts

Phone +1 352-284-4390

Authorized person

Name DR. DAMITA JOY FERGUSON
Role OWNER/ PHARMACY MANAGER
Phone 3522844390

Taxonomy

Taxonomy Code 333600000X - Pharmacy
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIVECARERX, LLC GHT BENEFIT PLAN 2023 872952144 2025-01-30 PRIVECARERX, LLC 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2023-11-01
Business code 621610
Sponsor’s telephone number 7862725035
Plan sponsor’s address 2020 PONCE DE LEON BLVD, STE 105, CORAL GABLES, FL, 33134

Plan administrator’s name and address

Administrator’s EIN 851828091
Plan administrator’s name MARILU RIOS
Plan administrator’s address 1 SE 3RD AVENUE, SUITE 1410, MIAMI, FL, 33131
Administrator’s telephone number 3053507700

Signature of

Role Plan administrator
Date 2025-01-30
Name of individual signing MARILU RIOS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
FERGUSON DAMITA J Authorized Member 13750 SW 116 TERRACE, MIAMI, FL, 33186
FERGUSON DAMITA J Agent 13750 SW 116 TERRACE, MIAMI, FL, 33186

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-08-03 2020 PONCE DE LEON BLVD, Suite 105, MIAMI, FL 33134 -
LC AMENDMENT AND NAME CHANGE 2023-07-10 PRIVECARERX LLC -

Documents

Name Date
ANNUAL REPORT 2024-02-01
LC Amendment and Name Change 2023-07-10
ANNUAL REPORT 2023-01-13
ANNUAL REPORT 2022-05-01
Florida Limited Liability 2021-10-01

Date of last update: 02 Mar 2025

Sources: Florida Department of State