| Entity Name: | HOLY CROSS PRIMARY CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 04 May 2016 (9 years ago) |
| Document Number: | N16000004608 |
| FEI/EIN Number | 81-2531495 |
| Address: | 4725 N. FEDERAL HWY., FT. LAUDERDALE, FL, 33308, US |
| Mail Address: | 4725 N. FEDERAL HWY., FT. LAUDERDALE, FL, 33308, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063963130 | 2016-10-24 | 2024-10-17 | PO BOX 70700, FT LAUDERDALE, FL, 333070700, US | 8190 ROYAL PALM BLVD, SUITE 100, CORAL SPRINGS, FL, 330655706, US | |||||||||||||||||||||
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| Phone | +1 954-351-4702 |
| Phone | +1 954-344-6537 |
| Fax | 9543442818 |
Authorized person
| Name | MARK E DOYLE |
| Role | PRESIDENT & CEO |
| Phone | 9545424837 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| HOLY CROSS HOSPITAL, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Radosevich Todd | Treasurer | 4725 N. FEDERAL HWY., FT. LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| Doyle Mark E | President | 4725 N. FEDERAL HWY., FT. LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| Molinet Rudy J | Chairman | 4725 N. FEDERAL HWY., FT. LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| Gorrell Katherine | Secretary | 4725 N. FEDERAL HWY., FT. LAUDERDALE, FL, 33308 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-21 |
| Domestic Non-Profit | 2016-05-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
