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PRIMARY CARE OF OC LLC - Florida Company Profile

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Company Details

Entity Name: PRIMARY CARE OF OC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 15 Feb 2024 (2 years ago)
Document Number: L24000081682
FEI/EIN Number 991460621
Address: 135 E MINNESOTA AVE, ORANGE CITY, FL, 32763, US
Mail Address: 341 W MINNESOTA AVE, ORANGE CITY, FL, 32763, US
ZIP code: 32763
City: Orange City
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CROKER VALMA Chief Executive Officer 341 W MINNESOTA AVE, ORANGE CITY, FL, 32763
CROKER VALMA Agent 341 W MINNESOTA AVE, ORANGE CITY, FL, 32763

National Provider Identifier

NPI Number:
1790541456
Certification Date:
2024-02-21

Authorized Person:

Name:
VALMA CROKER
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8336711039

Documents

Name Date
Florida Limited Liability 2024-02-15

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Date of last update: 01 Aug 2025

Sources: Florida Department of State