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LONGEVITY PRIMARY CARE LLC - Florida Company Profile

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Company Details

Entity Name: LONGEVITY PRIMARY CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 May 2025 (3 months ago)
Document Number: L25000238326
Address: 5845 CINDY LANE, MILTON, FL, 32570, US
Mail Address: 5845 CINDY LANE, MILTON, FL, 32570, US
ZIP code: 32570
City: Milton
County: Santa Rosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
COLE MICHELLE M Agent 5845 CINDY LN, MILTON, FL, 32570
COLE MICHELLE M Authorized Member 5845 CINDY LN, MILTON, FL, 32570
COLE CARL E Authorized Member 5845 CINDY LN, MILTON, FL, 32570

National Provider Identifier

NPI Number:
1548154875
Certification Date:
2025-06-03

Authorized Person:

Name:
MICHELLE MARY COLE
Role:
OWNER/NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

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Date of last update: 02 Aug 2025

Sources: Florida Department of State