| Entity Name: | DOUGLAS PRIMARY CARE CENTERS,INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Nov 2017 (7 years ago) |
| Document Number: | P17000089978 |
| FEI/EIN Number | 82-3338598 |
| Address: | 14388 TANGERINE BLVD., LOXAHATCHEE, FL, 33470, US |
| Mail Address: | 14388 TANGERINE BLVD., LOXAHATCHEE, FL, 33470, US |
| ZIP code: | 33470 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023523339 | 2017-12-08 | 2018-02-06 | 7171 N UNIVERSITY DR STE 207, TAMARAC, FL, 333212902, US | 7171 N UNIVERSITY DR STE 207, TAMARAC, FL, 333212902, US | |||||||||||||||||
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| Phone | +1 954-532-7458 |
| Fax | 9545908326 |
Authorized person
| Name | DR. DOUGLAS DANIEL GAGNON |
| Role | PRESIDENT |
| Phone | 9545400492 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GAGNON DOUGLAS | Agent | 14388 TANGERINE BLVD., LOXAHATCHEE, FL, 33470 |
| Name | Role | Address |
|---|---|---|
| GAGNON DOUGLAS | President | 14388 TANGERINE BLVD., LOXAHATCHEE, FL, 33470 |
| Name | Role | Address |
|---|---|---|
| Gagnon Susan M | Vice President | 14388 TANGERINE BLVD, LOXAHATCHEE, FL, 334705337 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-03-12 |
| Domestic Profit | 2017-11-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
