| Entity Name: | DR K PRIMARY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Mar 2022 (3 years ago) |
| Document Number: | L22000134661 |
| FEI/EIN Number | 88-1279860 |
| Address: | 3801 WOODBRIAR TRAIL, PORT ORANGE, FL, 32129 |
| Mail Address: | P O BOX 612, NEW SMYRNA BEACH, FL, 32170 |
| ZIP code: | 32129 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215689757 | 2022-01-26 | 2022-06-22 | PO BOX 612, NEW SMYRNA BEACH, FL, 321700612, US | 3801 WOODBRIAR TRL, PORT ORANGE, FL, 321299627, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 386-382-7177 |
Authorized person
| Name | SAMIRA KARAKOSSIAN |
| Role | OWNER |
| Phone | 3863827177 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Karakossian Samira | Agent | 3801 WOODBRIAR TRAIL, PORT ORANGE, FL, 32129 |
| Name | Role | Address |
|---|---|---|
| Karakossian Samira | Mgr | 3800 Woodbriar Trail, Port Orange, FL, 32129 |
| Karakossian Roman | Mgr | 3801 Woodbriar Trail, Port Orange, FL, 32129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-01-14 | Karakossian, Samira | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-14 |
| ANNUAL REPORT | 2023-01-31 |
| Florida Limited Liability | 2022-03-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
