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EXPRESS PRIMARY CARE OF OCALA, LLC

Company Details

Entity Name: EXPRESS PRIMARY CARE OF OCALA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 30 Nov 2023 (a year ago)
Date of dissolution: 27 Sep 2024 (4 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (4 months ago)
Document Number: L23000533159
Address: 1834 SW 1ST AVE., SUITE 201, OCALA, FL 34471 UN
Mail Address: 1834 SW 1ST AVE., SUITE 201, OCALA, FL 34471 UN
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891565826 2024-01-02 2024-01-02 1834 SW 1ST AVE STE 201, OCALA, FL, 344718102, US 1834 SW 1ST AVE STE 201, OCALA, FL, 344718102, US

Contacts

Phone +1 352-732-9888
Fax 3527320490

Authorized person

Name MR. GORDON M JOHNSON
Role OWNER
Phone 3527329888

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
JOHNSON, GORDON M Agent 1834 SW 1ST AVE., SUITE 201, OCALA, FL 34471

Manager

Name Role Address
JOHNSON, GORDON M Manager 1834 SW 1ST AVE., SUITE 201, OCALA, FL 34471 UN
JOHNSON, TANYA M Manager 1834 SW 1ST AVE., SUITE 201, OCALA, FL 34471 UN

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data

Documents

Name Date
Florida Limited Liability 2023-11-30

Date of last update: 09 Feb 2025

Sources: Florida Department of State