| Entity Name: | PRIMARY PROVIDER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Mar 2007 (18 years ago) |
| Document Number: | P07000031939 |
| FEI/EIN Number | 208651016 |
| Mail Address: | 1000 NW 57 Ct., Miami, FL, 33126, US |
| Address: | 9193 SUNSET DRIVE SUITE 210, MIAMI, FL, 33173 |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215287594 | 2012-09-14 | 2012-09-14 | 9193 SUNSET DR STE 210, MIAMI, FL, 331733487, US | 9193 SUNSET DR STE 210, MIAMI, FL, 331733487, US | |||||||||||||||||
|
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| Phone | +1 305-595-5558 |
| Fax | 3055954121 |
Authorized person
| Name | JORGE PASTORIZA |
| Role | OFFICER |
| Phone | 3055955558 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| De Vera Joseph NEsq. | Agent | 1000 NW 57 Ct., Miami, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| Sunset Holdings, L.L.C. | Othe | 1000 NW 57 Ct., Miami, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-29 | 9193 SUNSET DRIVE SUITE 210, MIAMI, FL 33173 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-29 | De Vera, Joseph N, Esq. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-29 | 1000 NW 57 Ct., 400, Miami, FL 33126 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-04-03 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-03-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
