| Entity Name: | PRIMENET MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Oct 2000 (24 years ago) |
| Document Number: | P00000094321 |
| FEI/EIN Number | 651044964 |
| Address: | 7189 PEMBROKE ROAD, PEMBROKE PINES, FL, 33023, US |
| Mail Address: | 7189 PEMBROKE ROAD, PEMBROKE PINES, FL, 33023, US |
| ZIP code: | 33023 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104251081 | 2013-09-10 | 2013-09-10 | 1100 S STATE ROAD 7, SUITE 104, MARGATE, FL, 330684033, US | 1100 S STATE ROAD 7, SUITE 104, MARGATE, FL, 330684033, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-984-8000 |
| Fax | 9549848811 |
Authorized person
| Name | MRS. MAGGIE TORRES |
| Role | ADMINISTRATOR |
| Phone | 9549831220 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 370428900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 254724400 |
| State | FL |
| Issuer | MEDICAID |
| Number | 277530100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 045341200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 003094200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TORRES J. RAMON | Agent | 7189 PEMBROKE ROAD, PEMBROKE PINES, FL, 33023 |
| Name | Role | Address |
|---|---|---|
| TORRES J. RAMON | President | 7189 PEMBROKE ROAD, PEMBROKE PINES, FL, 33023 |
| Name | Role | Address |
|---|---|---|
| TORRES J. RAMON | Director | 7189 PEMBROKE ROAD, PEMBROKE PINES, FL, 33023 |
| Name | Role | Address |
|---|---|---|
| TORRES MAGGIE M | Vice President | 7189 PEMBROKE ROAD, PEMBROKE PINES, FL, 33023 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2011-04-18 | TORRES, J. RAMON | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2002-04-23 | 7189 PEMBROKE ROAD, PEMBROKE PINES, FL 33023 | No data |
| CHANGE OF MAILING ADDRESS | 2002-04-23 | 7189 PEMBROKE ROAD, PEMBROKE PINES, FL 33023 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-04-23 | 7189 PEMBROKE ROAD, PEMBROKE PINES, FL 33023 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-02-07 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-02-16 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-04-08 |
| ANNUAL REPORT | 2015-03-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3362587103 | 2020-04-11 | 0455 | PPP | 7189 PEMBROKE RD, PEMBROKE PINES, FL, 33023-2679 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
