| Entity Name: | ADVANCED PRIMARY CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Nov 2002 (22 years ago) |
| Document Number: | P02000126592 |
| FEI/EIN Number | 680529948 |
| Address: | 4028 TAMPA ROAD, OLDSMAR, FL, 34677, US |
| Mail Address: | 16308 TURNBURY OAK DRIVE, ODESSA, FL, 33556, US |
| ZIP code: | 34677 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316930902 | 2005-08-29 | 2011-09-21 | 4028 TAMPA RD, OLDSMAR, FL, 346773205, US | 4028 TAMPA RD, OLDSMAR, FL, 346773205, US | |||||||||||||||||||||||||
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| Phone | +1 813-814-9088 |
| Fax | 8138149077 |
Authorized person
| Name | MRS. AMANDA M WU |
| Role | OWNER |
| Phone | 8138149088 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME82723 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 2653052-00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WU AMANDA M | Agent | 16308 TURNBURY OAK DR.,, ODESSA, FL, 33556 |
| Name | Role | Address |
|---|---|---|
| WU AMANDA M | President | 16308 TURNBURY OAK DR, ODESSA, FL, 33556 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2007-04-09 | WU, AMANDA MMD | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-03-15 | 4028 TAMPA ROAD, OLDSMAR, FL 34677 | No data |
| CHANGE OF MAILING ADDRESS | 2006-03-15 | 4028 TAMPA ROAD, OLDSMAR, FL 34677 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-05-07 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-07 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-04 |
| ANNUAL REPORT | 2015-03-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
