| Entity Name: | PRIME CARE MEDICAL SUPPLY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Apr 2024 (9 months ago) |
| Document Number: | L24000186705 |
| Address: | 3700 34TH ST, SUITE 120C, ORLANDO, FL 32805 |
| Mail Address: | 3700 34TH ST, SUITE 120C, ORLANDO, FL 32805 |
| ZIP code: | 32805 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447006614 | 2024-04-27 | 2024-04-27 | 3700 34TH ST STE 120C, ORLANDO, FL, 328056601, US | 3700 34TH ST STE 120C, ORLANDO, FL, 328056601, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 239-989-4012 |
Authorized person
| Name | MARY FLORES |
| Role | OWNER |
| Phone | 2399894012 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FLORES, MARY | Agent | 3700 34TH ST, SUITE 120C, ORLANDO, FL 32805 |
| Name | Role | Address |
|---|---|---|
| FLORES, MARY | Manager | 3700 34TH ST SUITE 120C, ORLANDO, FL 32805 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-04-22 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
