| Entity Name: | OCEANSIDE MEDICAL CENTER DIRECT PRIMARY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 May 2022 (3 years ago) |
| Document Number: | L22000209448 |
| FEI/EIN Number | 88-2379880 |
| Address: | 5915 N OCEANSHORE BLVD, UNIT B, PALM COAST, FL, 32137 |
| Mail Address: | 30 CLARIDGE CT N, PALM COAST, FL, 32137 |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467184481 | 2022-06-28 | 2022-06-28 | 5915 N OCEAN SHORE BLVD STE B, PALM COAST, FL, 321372643, US | 5915 N OCEAN SHORE BLVD STE B, PALM COAST, FL, 321372643, US | |||||||||||||||
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| Phone | +1 386-866-9393 |
| Fax | 3863099930 |
Authorized person
| Name | LAUREN WILLIAMS |
| Role | OWNER/ PRESIDENT |
| Phone | 3868669393 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILLIAMS LAUREN S | Agent | 30 CLARIDGE CT N, PALM COAST, FL, 32137 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS LAUREN S | Manager | 30 CLARIDGE CT N, PALM COAST, FL, 32137 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-30 |
| Florida Limited Liability | 2022-05-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
