| Entity Name: | PRIMARY CARE ON CALL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 16 Jul 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P12000062173 |
| Address: | 9055 STARPASS DRIVE, JACKSONVILLE, FL 32256 |
| Mail Address: | 9055 STARPASS DRIVE, JACKSONVILLE, FL 32256 |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174863476 | 2013-02-22 | 2013-06-27 | 9838 OLD BAYMEADOWS RD, #283, JACKSONVILLE, FL, 322568101, US | 9838 OLD BAYMEADOWS RD, #283, JACKSONVILLE, FL, 322568101, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-472-0537 |
| Fax | 9045516597 |
Authorized person
| Name | ROBERT M LANCASTER |
| Role | PRESIDENT |
| Phone | 9043222472 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | ARNP9208913 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | WORKERS COMPENSATION |
| Number | 1039346 |
| State | FL |
| Issuer | GWH |
| Number | 1490727 |
| State | FL |
| Issuer | CIGNA |
| Number | 1490727 |
| State | FL |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| LANCASTER, ROBERT | President | 9055 STARPASS DRIVE, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| LANCASTER, ROBERT | Director | 9055 STARPASS DRIVE, JACKSONVILLE, FL 32256 |
| SCHIER, PHILLIP | Director | 9055 STARPASS DRIVE, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| SCHIER, PHILLIP | Secretary | 9055 STARPASS DRIVE, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| LANCASTER, ROBERT | Treasurer | 9055 STARPASS DRIVE, JACKSONVILLE, FL 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-06 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2012-07-16 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
