| Entity Name: | ONE PRIMARY HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Dec 2023 (a year ago) |
| Document Number: | L23000548646 |
| FEI/EIN Number | 93-4853412 |
| Address: | 1401 E 4TH AVE, SUITE 204, HIALEAH, FL 33010 |
| Mail Address: | 1401 E 4TH AVE, SUITE 204, HIALEAH, FL 33010 |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245008713 | 2023-12-14 | 2023-12-14 | 1401 E 4TH AVE STE 204, HIALEAH, FL, 330103504, US | 1401 E 4TH AVE STE 204, HIALEAH, FL, 330103504, US | |||||||||||||||||||
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| Phone | +1 305-885-9999 |
| Fax | 3058859924 |
Authorized person
| Name | LOUIS D VILLALBA |
| Role | CEO |
| Phone | 3058859999 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VILLALBA, LOUIS D | Agent | 1401 E 4TH AVE, SUITE 204, HIALEAH, FL 33010 |
| Name | Role | Address |
|---|---|---|
| ALVAREZ, ALINA M, M.D. | Managing Member | 1401 E. 4TH AVENUE, SUITE 204, HIALEAH, FL 33010 |
| VILALBA, LOUIS D | Managing Member | 1401 E 4TH AVENUE, SUITE 204, HIALEAH, FL 33010 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| Florida Limited Liability | 2023-12-12 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
