| Entity Name: | PRIMARY CARE & GERIATRIC CLINIC INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Apr 2012 (13 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P12000039367 |
| FEI/EIN Number | 455005531 |
| Address: | 700 SE 5TH TERRACE STE 6, CRYSTAL RIVER, FL, 34429, US |
| Mail Address: | 700 SE 5TH TERRACE STE 6, CRYSTAL RIVER, FL, 34429, US |
| ZIP code: | 34429 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962760686 | 2012-05-01 | 2012-07-17 | 700 SE 5TH TER, STE 6, CRYSTAL RIVER, FL, 344294878, US | 700 SE 5TH TER, STE 6, CRYSTAL RIVER, FL, 344294878, US | |||||||||||||||||||
|
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| Phone | +1 352-794-6151 |
| Fax | 3527946138 |
Authorized person
| Name | DR. GHASSAN HASAN |
| Role | PRESIDENT |
| Phone | 3527946151 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME94778 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HASAN GHASSAN A | Agent | 700 SE 5TH TERRACE STE 6, CRYSTAL RIVER, FL, 34429 |
| Name | Role | Address |
|---|---|---|
| HASAN GHASSAN ADr. | President | 700 SE 5TH TERRACE STE 6, CRYSTAL RIVER, FL, 34429 |
| Name | Role | Address |
|---|---|---|
| CARRASQUILLO EVA M | Secretary | 700 SE 5TH TERRACE STE 6, CRYSTAL RIVER, FL, 34429 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-30 | 700 SE 5TH TERRACE STE 6, CRYSTAL RIVER, FL 34429 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-30 | 700 SE 5TH TERRACE STE 6, CRYSTAL RIVER, FL 34429 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-30 | 700 SE 5TH TERRACE STE 6, CRYSTAL RIVER, FL 34429 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-08 |
| ANNUAL REPORT | 2015-04-25 |
| ANNUAL REPORT | 2014-04-28 |
| ANNUAL REPORT | 2013-04-30 |
| Domestic Profit | 2012-04-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
