Entity Name: | LANDMARK PRIMARY CARE PA |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 17 Apr 2006 (19 years ago) |
Last Event: | NAME CHANGE AMENDMENT |
Event Date Filed: | 11 Dec 2023 (a year ago) |
Document Number: | P06000055735 |
FEI/EIN Number | 141956886 |
Address: | 2221 NORTH HIMES AV., C, TAMPA, FL, 33607, US |
Mail Address: | 2221 NORTH HIMES AV., C, TAMPA, FL, 33607, US |
ZIP code: | 33607 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1447218250 | 2006-05-02 | 2023-06-21 | 2221 N HIMES AVE, SUITE C, TAMPA, FL, 336073139, US | 2221 N HIMES AVE, SUITE C, TAMPA, FL, 336073139, US | |||||||||||||||||||||||||
|
Phone | +1 813-354-9485 |
Fax | 8133549564 |
Authorized person
Name | DR. ANTHONY THOMAS DUANY |
Role | /PHYSICIAN/PRESIDENT |
Phone | 8133549485 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | ME41431 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 024110800 |
State | FL |
Name | Role | Address |
---|---|---|
DUANY ANTHONY T | Agent | 2221 NORTH HIMES AV., TAMPA, FL, 33607 |
Name | Role | Address |
---|---|---|
DUANY, MD ANTHONY T | President | 405 N Hubert Ave., Tampa, FL, 33609 |
Name | Role | Address |
---|---|---|
DUANY, MD ANTHONY T | Secretary | 405 N Hubert Ave., Tampa, FL, 33609 |
Ropiza Joan C | Secretary | 2221 NORTH HIMES AV., TAMPA, FL, 33607 |
Name | Role | Address |
---|---|---|
DUANY, MD ANTHONY T | Treasurer | 405 N Hubert Ave., Tampa, FL, 33609 |
Name | Role | Address |
---|---|---|
DUANY, MD ANTHONY T | Director | 405 N Hubert Ave., Tampa, FL, 33609 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
NAME CHANGE AMENDMENT | 2023-12-11 | LANDMARK PRIMARY CARE PA | No data |
CHANGE OF PRINCIPAL ADDRESS | 2011-02-01 | 2221 NORTH HIMES AV., C, TAMPA, FL 33607 | No data |
CHANGE OF MAILING ADDRESS | 2011-02-01 | 2221 NORTH HIMES AV., C, TAMPA, FL 33607 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2011-02-01 | 2221 NORTH HIMES AV., SUITE C, TAMPA, FL 33607 | No data |
REGISTERED AGENT NAME CHANGED | 2008-10-30 | DUANY, ANTHONY TDR. | No data |
CANCEL ADM DISS/REV | 2008-10-30 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-09 |
Name Change | 2023-12-11 |
ANNUAL REPORT | 2023-01-27 |
ANNUAL REPORT | 2022-01-25 |
ANNUAL REPORT | 2021-01-12 |
ANNUAL REPORT | 2020-01-29 |
ANNUAL REPORT | 2019-02-07 |
ANNUAL REPORT | 2018-03-22 |
ANNUAL REPORT | 2017-04-12 |
ANNUAL REPORT | 2016-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State