| Entity Name: | DOWNTOWN PRIMARY CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Jul 2023 (2 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 16 Oct 2024 (4 months ago) |
| Document Number: | L23000326239 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 150 W MICHIGAN ST, ORLANDO, FL 32806 |
| Mail Address: | PO BOX 568368, ORLANDO, FL 32856 |
| ZIP code: | 32806 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1174356505 | 2024-08-21 | 2024-09-16 | PO BOX 568368, ORLANDO, FL, 328568368, US | 150 W MICHIGAN ST, ORLANDO, FL, 328064463, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-863-9111 |
| Fax | 4076135085 |
Authorized person
| Name | LASHUNDA STANDIFER |
| Role | ADMIN |
| Phone | 4078639111 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 111NN1001X - Nutrition Chiropractor |
| Is Primary | No |
| Taxonomy Code | 111NR0200X - Radiology Chiropractor |
| Is Primary | No |
| Taxonomy Code | 111NX0100X - Occupational Health Chiropractor |
| Is Primary | No |
| Taxonomy Code | 111NX0800X - Orthopedic Chiropractor |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QF0050X - Non-Surgical Family Planning Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| KHAN, JUNAID | Agent | 150 W MICHIGAN ST, ORLANDO, FL 32806 |
| Name | Role | Address |
|---|---|---|
| KHAN, JUNAID | Manager | 150 W MICHIGAN STREET, ORLANDO, FL 32806 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-10-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-10-16 | KHAN, JUNAID | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-10-16 | 150 W MICHIGAN ST, ORLANDO, FL 32806 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-10-16 |
| Florida Limited Liability | 2023-07-10 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
