| Entity Name: | KAY PRIMARY CARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Aug 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 15 Nov 2023 (a year ago) |
| Document Number: | P17000069132 |
| FEI/EIN Number | 82-2511487 |
| Address: | 2724 PARK ST, CLEARWATER, AL, 33763, US |
| Mail Address: | 2724 PARK ST, CLEARWATER, FL, 33763, US |
| ZIP code: | 33763 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235656992 | 2017-08-24 | 2022-07-21 | 2724 PARK DR, CLEARWATER, FL, 337631020, US | 2724 PARK DR, CLEARWATER, FL, 33763, US | |||||||||||||||||||||||
|
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| Phone | +1 727-796-2444 |
Authorized person
| Name | WALTER KAY |
| Role | MEDICAL DIRECTOR |
| Phone | 7277962444 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | OS3862 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 22234600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KAY WALTER DO | Agent | 3065 OSPREY LANE, CLEARWATER, FL, 33762 |
| Name | Role | Address |
|---|---|---|
| KAY WALTER DO | President | 3065 OSPREY LANE, CLEARWATER, FL, 33762 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-11-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2021-05-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-05-10 | KAY, WALTER, DO | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-07-05 | 2724 PARK ST, CLEARWATER, AL 33763 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| REINSTATEMENT | 2023-11-15 |
| REINSTATEMENT | 2021-05-10 |
| ANNUAL REPORT | 2019-08-29 |
| ANNUAL REPORT | 2018-07-05 |
| Domestic Profit | 2017-08-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
