| Entity Name: | PRIMARY ONE HEALTHCARE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Jan 2022 (3 years ago) |
| Document Number: | L22000023874 |
| FEI/EIN Number | 87-4490937 |
| Address: | 433 PLAZA REAL, SUITE 275, BOCA RATON, FL 33432 |
| Mail Address: | 433 PLAZA REAL, SUITE 275, BOCA RATON, FL 33432 |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922753508 | 2022-02-13 | 2022-02-15 | 433 PLAZA REAL STE 275, BOCA RATON, FL, 334323999, US | 433 PLAZA REAL STE 275, BOCA RATON, FL, 334323999, US | |||||||||||||||||||
|
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| Phone | +1 561-332-4545 |
| Fax | 8887269869 |
Authorized person
| Name | VICKY PAUL |
| Role | CO-OWNER |
| Phone | 5613324545 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| CENATUS, ROLLIN M | Authorized Member | 433 PLAZA REAL SUITE 275, BOCA RATON, FL 33432 |
| PAUL, VICKY | Authorized Member | 433 PLAZA REAL SUITE 275, BOCA RATON, FL 33432 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-03-15 |
| Florida Limited Liability | 2022-01-11 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
