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1ST CHOICE PRIMARY CARE LLC - Florida Company Profile

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Company Details

Entity Name: 1ST CHOICE PRIMARY CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Jun 2024 (a year ago)
Document Number: L24000289340
FEI/EIN Number 993711435
Mail Address: 10348 SW 32ND AVE, GAINESVILLE, FL, 32608, US
Address: 128 NW 137th Drive, Newberry, FL, 32669, US
ZIP code: 32669
City: Newberry
County: Alachua
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DISTEFANO JOHN Manager 10348 SW 32ND AVE, GAINESVILLE, FL, 32608
DISTEFANO JOHN Agent 10348 SW 32ND AVE, GAINESVILLE, FL, 32608

National Provider Identifier

NPI Number:
1528806494
Certification Date:
2025-01-15

Authorized Person:

Name:
JOHN DISTEFANO
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-28 128 NW 137th Drive, Newberry, FL 32669 -

Documents

Name Date
ANNUAL REPORT 2025-01-28
Florida Limited Liability 2024-06-26

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Date of last update: 01 Aug 2025

Sources: Florida Department of State