| Entity Name: | PRIMARY MEDICAL CARE CENTER IV, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Jul 2020 (5 years ago) |
| Document Number: | P20000049406 |
| FEI/EIN Number | 85-1896466 |
| Address: | 1233 45th Street, Suite B4, West Palm Beach, FL, 33407, US |
| Mail Address: | 11500 NW 7TH AVENUE, MIAMI, FL, 33168, US |
| ZIP code: | 33407 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538872528 | 2023-01-04 | 2023-01-04 | 11500 NW 7TH AVE, MIAMI, FL, 331682506, US | 1233 45TH ST STE B4, MANGONIA PARK, FL, 334072162, US | |||||||||||||||||||||||
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| Phone | +1 561-250-0000 |
| Fax | 8883653056 |
Authorized person
| Name | PRINSTON JEAN-GLUADE |
| Role | CEO |
| Phone | 3053451369 |
Taxonomy
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JEAN-GLAUDE PRINSTON | Agent | 11500 NW 7TH AVENUE, MIAMI, FL, 33168 |
| Name | Role | Address |
|---|---|---|
| JEAN-GLAUDE PRINSTON | President | 11500 NW 7TH AVENUE, MIAMI, FL, 33168 |
| Name | Role | Address |
|---|---|---|
| JEAN-GLAUDE EDWIGE | Vice President | 11500 NW 7TH AVENUE, MIAMI, FL, 33168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-04 | 1233 45th Street, Suite B4, West Palm Beach, FL 33407 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-29 | JEAN-GLAUDE, PRINSTON | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| Domestic Profit | 2020-07-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
