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SUNRISE PRIMARY CARE INC - Florida Company Profile

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Company Details

Entity Name: SUNRISE PRIMARY CARE INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 30 Jul 2001 (24 years ago)
Date of dissolution: 27 Sep 2019 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (6 years ago)
Document Number: P01000075664
FEI/EIN Number 593736354
Address: 100 ARRICOLA AVE, ST. AUGUSTINE, FL, 32080, US
Mail Address: 100 ARRICOLA AVE, ST. AUGUSTINE, FL, 32080, US
ZIP code: 32080
City: Saint Augustine
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GAW ALBINO Secretary 108 N. Bartram Trail, San Mateo, FL, 32187
HINMAN ROY HII, MD President 100 ARRICOLA AVE, ST. AUGUSTINE, FL, 32080
CULVER DAVE Agent 100 ARRICOLA AVE, ST. AUGUSTINE, FL, 32080

National Provider Identifier

NPI Number:
1124294012

Authorized Person:

Name:
ALBINO GAW
Role:
ADMINISTRATOR
Phone:

Taxonomy:

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

Contacts:

Fax:
3866982239

Form 5500 Series

Employer Identification Number (EIN):
593736354
Plan Year:
2018
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
15
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
AMENDMENT 2019-01-30 - -
CHANGE OF PRINCIPAL ADDRESS 2019-01-30 100 ARRICOLA AVE, ST. AUGUSTINE, FL 32080 -
CHANGE OF MAILING ADDRESS 2019-01-30 100 ARRICOLA AVE, ST. AUGUSTINE, FL 32080 -
REGISTERED AGENT NAME CHANGED 2019-01-30 CULVER, DAVE -
REGISTERED AGENT ADDRESS CHANGED 2019-01-30 100 ARRICOLA AVE, ST. AUGUSTINE, FL 32080 -

Documents

Name Date
Amendment 2019-01-30
ANNUAL REPORT 2018-03-14
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-01-17
ANNUAL REPORT 2015-03-25
ANNUAL REPORT 2014-03-31
ANNUAL REPORT 2013-03-04
ANNUAL REPORT 2012-02-10
ANNUAL REPORT 2011-02-18
ANNUAL REPORT 2010-02-24

OSHA's Inspections within Industry

Inspection Summary

Date:
2013-08-14
Type:
Complaint
Address:
219 N PALM AVE, PALATKA, FL, 32178
Safety Health:
Health
Scope:
Complete

Inspection Summary

Date:
2013-01-08
Type:
Planned
Address:
219 N PALM AVE, PALATKA, FL, 32178
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2012-09-06
Type:
Planned
Address:
219 N PALM AVE, PALATKA, FL, 32178
Safety Health:
Health
Scope:
Complete

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Date of last update: 02 Aug 2025

Sources: Florida Department of State