Entity Name: | XCLUSIVE PRIMARY CARE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 03 Jan 2024 (a year ago) |
Document Number: | L24000010508 |
Address: | 585 5TH AVE SE, LARGO, FL 33771 |
Mail Address: | 585 5TH AVE SE, LARGO, FL 33771 |
ZIP code: | 33771 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1528824703 | 2024-02-26 | 2024-02-26 | 585 5TH AVE SE, LARGO, FL, 337712125, US | 585 5TH AVE SE, LARGO, FL, 337712125, US | |||||||||||||
|
Phone | +1 727-297-0931 |
Authorized person
Name | JESSICA CRAIG |
Role | OWNER |
Phone | 7272970931 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CRAIG, JESSICA | Agent | 585 5TH AVE SE, LARGO, FL 33771 |
Name | Role | Address |
---|---|---|
CRAIG, JESSICA | Manager | 585 5TH AVE SE, LARGO, FL 33771 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2025-05-01 | 585 5TH AVE SE, LARGO, FL 33771 | No data |
CHANGE OF MAILING ADDRESS | 2025-05-01 | 585 5TH AVE SE, LARGO, FL 33771 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2024-05-01 | 585 5TH AVE SE, LARGO, FL 33771 | No data |
CHANGE OF MAILING ADDRESS | 2024-05-01 | 585 5TH AVE SE, LARGO, FL 33771 | No data |
Name | Date |
---|---|
Florida Limited Liability | 2024-01-03 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State