| Entity Name: | PRIMECARE ACQUISITION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 06 Oct 2010 (14 years ago) |
| Document Number: | P10000081818 |
| FEI/EIN Number | 27-3630489 |
| Address: | 1890 LPGA Blvd, Suite 130, Daytona Beach, FL 32117 |
| Mail Address: | 1890 LPGA Blvd, Suite 130, Daytona Beach, FL 32117 |
| ZIP code: | 32117 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649601485 | 2013-12-04 | 2014-05-12 | 5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA, 921211705, US | 1890 LPGA BLVD, SUITE 130, DAYTONA BEACH, FL, 321177130, US | |||||||||||||||||
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| Phone | +1 386-274-2212 |
Authorized person
| Name | KENNY HEINE |
| Role | VP OF OPERATIONS |
| Phone | 8589641506 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| License Number | ME67318 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DUVA, CHARLES DMD | Agent | 1890 LPGA Blvd, Suite 130, Daytona Beach, FL 32117 |
| Name | Role | Address |
|---|---|---|
| DUVA, CHARLES DMD | Director | 1890 LPGA Blvd, Suite 130 Daytona Beach, FL 32117 |
| Barry, Wayne | Director | 1890 LPGA Blvd, Suite 130 Daytona Beach, FL 32117 |
| Canalizo, John | Director | 1890 LPGA Blvd, Suite 130 Daytona Beach, FL 32117 |
| Caraker, Mark | Director | 1890 LPGA Blvd, Suite 130 Daytona Beach, FL 32117 |
| Knight, Stephen | Director | 1890 LPGA Blvd, Suite 130 Daytona Beach, FL 32117 |
| Newcomer, Gerard | Director | 1890 LPGA Blvd, Suite 130 Daytona Beach, FL 32117 |
| Roberts, J Jennifer | Director | 1890 LPGA Blvd, Suite 130 Daytona Beach, FL 32117 |
| Weiner, Tracy | Director | 1890 LPGA Blvd, Suite 130 Daytona Beach, FL 32117 |
| Name | Role | Address |
|---|---|---|
| DUVA, CHARLES DMD | President | 1890 LPGA Blvd, Suite 130 Daytona Beach, FL 32117 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-30 | 1890 LPGA Blvd, Suite 130, Daytona Beach, FL 32117 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-30 | 1890 LPGA Blvd, Suite 130, Daytona Beach, FL 32117 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-30 | 1890 LPGA Blvd, Suite 130, Daytona Beach, FL 32117 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-03-05 |
| ANNUAL REPORT | 2020-04-09 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-21 |
| ANNUAL REPORT | 2017-03-01 |
| ANNUAL REPORT | 2016-02-23 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
