| Entity Name: | HEALTH COVENANT PRIMARY CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Feb 2017 (8 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 19 May 2017 (8 years ago) |
| Document Number: | P17000011915 |
| FEI/EIN Number | 81-5202252 |
| Mail Address: | 1323 W. BUSCH BLVD, TAMPA, FL, 33612, US |
| Address: | 1323 W. Busch Blvd, STE. A, Tampa, FL, 33612, US |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780122473 | 2017-02-02 | 2022-07-21 | 1323 W BUSCH BLVD STE A, TAMPA, FL, 336127766, US | 1323 W BUSCH BLVD STE A, TAMPA, FL, 336127766, US | |||||||||||||
|
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| Phone | +1 813-391-9681 |
Authorized person
| Name | MAGALY DICANIO |
| Role | ADMINISTRATOR |
| Phone | 8133919681 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DICANIO LIGIA M | Agent | 4607 DUNNIE DR, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| DICANIO LIGIA M | President | 1323 W. BUSCH BLVD, TAMPA, FL, 33612 |
| Name | Role | Address |
|---|---|---|
| DICANIO LIGIA M | Secretary | 1323 W. BUSCH BLVD, TAMPA, FL, 33612 |
| Name | Role | Address |
|---|---|---|
| DICANIO LIGIA M | Treasurer | 1323 W. BUSCH BLVD, TAMPA, FL, 33612 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-27 | 1323 W. Busch Blvd, STE. A, Tampa, FL 33612 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-27 | 1323 W. Busch Blvd, STE. A, Tampa, FL 33612 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-27 | DICANIO, LIGIA MAGALY | No data |
| AMENDMENT | 2017-05-19 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-19 | 4607 DUNNIE DR, TAMPA, FL 33614 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-04-09 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-03-27 |
| Amendment | 2017-05-19 |
| Domestic Profit | 2017-02-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
