| Entity Name: | PRIMOMD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Oct 2023 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 11 Dec 2023 (a year ago) |
| Document Number: | L23000491142 |
| FEI/EIN Number | 93-4191743 |
| Address: | 3040 N WICKHAM RD SUITE 6, MELBOURNE, FL 32935 |
| Mail Address: | 3040 North Wickham Road, Suite 6, Melbourne, FL 32935 |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083484984 | 2024-01-03 | 2024-01-03 | 3040 N WICKHAM RD, SUITE 6, MELBOURNE, FL, 32935, US | 3040 N WICKHAM RD, SUITE 6, MELBOURNE, FL, 32935, US | |||||||||||||||||||||
|
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| Phone | +1 321-226-8607 |
Authorized person
| Name | ANTHONY SCHIRRIPA |
| Role | MEDICAL DIRECTOR/CEO |
| Phone | 3212268607 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Schirripa, Anthony | Manager | P.O. Box 411307, Melbourne, FL 32941 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-12-18 | 3040 N WICKHAM RD SUITE 6, MELBOURNE, FL 32935 | No data |
| LC AMENDMENT | 2023-12-11 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| LC Amendment | 2023-12-11 |
| Florida Limited Liability | 2023-10-27 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
