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PRIME CARE HEALTH PARTNERS LLC

Company Details

Entity Name: PRIME CARE HEALTH PARTNERS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Jun 2022 (3 years ago)
Document Number: L22000293066
FEI/EIN Number 88-3057959
Address: 4960 SW 72 AVE, SUITE 206, MIAMI, FL, 33155
Mail Address: 4960 SW 72 AVE, SUITE 206, MIAMI, FL, 33155
ZIP code: 33155
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063120657 2022-11-11 2022-11-11 4960 SW 72ND AVE STE 206, MIAMI, FL, 331555549, US 14024 SW 8TH ST, MIAMI, FL, 331843001, US

Contacts

Phone +1 305-972-3590
Phone +1 786-536-5256

Authorized person

Name GLADYS GALLEGOS
Role COO
Phone 3059723590

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
BERTRAN EDUARDO Agent 4960 SW 72 AVE, MIAMI, FL, 33155

Manager

Name Role Address
BERTRAN EDUARDO Manager 4960 SW 72 AVE, SUITE 206, MIAMI, FL, 33155

Auth

Name Role Address
Armas Jose M Auth 4960 SW 72 Ave, Miami, FL, 33155

Documents

Name Date
ANNUAL REPORT 2024-03-14
ANNUAL REPORT 2023-03-21
Florida Limited Liability 2022-06-29

Date of last update: 02 Feb 2025

Sources: Florida Department of State