| Entity Name: | PRI-MED HEALTHCARE SOLUTIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Aug 2024 (6 months ago) |
| Document Number: | L24000340846 |
| Address: | 2121 COOPERATE SQUARE BLVD, 135, JACKSONVILLE, FL 32216 |
| Mail Address: | 578 ED HARREL ROAD, HORTENSE, GA 31543 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265264360 | 2024-08-16 | 2024-08-17 | 2121 CORPORATE SQUARE BLVD STE 135, JACKSONVILLE, FL, 322161990, US | 2121 CORPORATE SQUARE BLVD STE 135, JACKSONVILLE, FL, 322161990, US | |||||||||||||||||||||||
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| Phone | +1 786-815-3251 |
| Fax | 8665795123 |
Authorized person
| Name | DAINE DARBY |
| Role | OWNER |
| Phone | 7868153251 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DARBY, DAINE | Agent | 2121 COOPERATE SQUARE BLVD, 135, JACKSONVILLE, FL 32216 |
| Name | Role | Address |
|---|---|---|
| DARBY, DAINE | Authorized Person | 578 ED HARRELL ROAD, HORTENSE, GA 31543 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-02 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
