| Entity Name: | PRIMARY MEDICAL CARE CENTER OF POMPANO BEACH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Feb 2020 (5 years ago) |
| Document Number: | P20000009665 |
| FEI/EIN Number | 84-4599606 |
| Address: | 1801 W Sample Road, Deerfield Beach, FL, 33064, US |
| Mail Address: | 2412 NORTH STATE ROAD 7, LAUDERDALE LAKES, FL, 33313, US |
| ZIP code: | 33064 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528683489 | 2020-06-16 | 2020-06-16 | 2412 N STATE ROAD 7, LAUDERDALE LAKES, FL, 333133724, US | 2412 N STATE ROAD 7, LAUDERDALE LAKES, FL, 333133724, US | |||||||||||||||
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| Phone | +1 954-289-0000 |
| Fax | 8883653056 |
Authorized person
| Name | PRINSTON JEAN-GLAUDE |
| Role | CEO |
| Phone | 9542890000 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Jean-GLAUDE PRINSTON | Agent | 2412 N. STATE RD. 7, LAUDERDALAE LAKES, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| Jean-GLAUDE PRINSTON | President | 2412 NORTH STATE ROAD 7, LAUDERDALE LAKES, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| Jean-GLAUDE EDWIGE | Vice President | 2412 NORTH STATE ROAD 7, LAUDERDALE LAKES, FL, 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-29 | 1801 W Sample Road, Suite 100, Deerfield Beach, FL 33064 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-29 | Jean-GLAUDE, PRINSTON | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-13 | 1801 W Sample Road, Suite 100, Deerfield Beach, FL 33064 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| Domestic Profit | 2020-02-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
