| Entity Name: | ADVANCED PRIMARY CARE ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Apr 2015 (10 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 06 May 2021 (4 years ago) |
| Document Number: | P15000035009 |
| FEI/EIN Number | 47-3747426 |
| Address: | 1101 SOUTH EUSTIS STREET, EUSTIS, FL, 32726, US |
| Mail Address: | 1101 SOUTH EUSTIS STREET, EUSTIS, FL, 32726, US |
| ZIP code: | 32726 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265819130 | 2015-04-29 | 2020-06-17 | 1101 S EUSTIS ST, EUSTIS, FL, 327265558, US | 1101 S EUSTIS ST, EUSTIS, FL, 327265558, US | |||||||||||||||||||||||
|
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| Phone | +1 352-589-9661 |
| Fax | 3525895983 |
Authorized person
| Name | AIMEE GILMET |
| Role | OWNER |
| Phone | 3525899661 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP9242919 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1578809141 |
| Name | Role | Address |
|---|---|---|
| MATHIS DANIELLE | Agent | 12116 BUTTONBUSH LOOP, LEESBURG, FL, 34788 |
| Name | Role | Address |
|---|---|---|
| MATHIS DANIELLE | Director | 12116 BUTTONBUSH LOOP, LEESBURG, FL, 34788 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-05-06 | 12116 BUTTONBUSH LOOP, LEESBURG, FL 34788 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-05-06 | MATHIS, DANIELLE | No data |
| AMENDMENT | 2021-05-06 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-12 | 1101 SOUTH EUSTIS STREET, EUSTIS, FL 32726 | No data |
| AMENDMENT AND NAME CHANGE | 2020-02-12 | ADVANCED PRIMARY CARE ASSOCIATES, P.A. | No data |
| CHANGE OF MAILING ADDRESS | 2020-02-12 | 1101 SOUTH EUSTIS STREET, EUSTIS, FL 32726 | No data |
| REINSTATEMENT | 2017-01-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-24 |
| ANNUAL REPORT | 2023-03-11 |
| ANNUAL REPORT | 2022-03-17 |
| Amendment | 2021-05-06 |
| ANNUAL REPORT | 2021-03-25 |
| Amendment and Name Change | 2020-02-12 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-01-05 |
| ANNUAL REPORT | 2018-01-02 |
| REINSTATEMENT | 2017-01-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
