| Entity Name: | PRIMARY CARE MEDICAL CENTER OF FLORIDA, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Sep 2021 (3 years ago) |
| Date of dissolution: | 30 Aug 2024 (5 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Aug 2024 (5 months ago) |
| Document Number: | P21000084941 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 2280 W ATLANTIC AVE, DELRAY BEACH, FL, 33445-4637, US |
| Mail Address: | 2280 W ATLANTIC AVE, DELRAY BEACH, FL, 33445 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073394300 | 2023-10-12 | 2023-10-12 | 2280 W ATLANTIC AVE, DELRAY BEACH, FL, 334454637, US | 2280 W ATLANTIC AVE, DELRAY BEACH, FL, 334454637, US | |||||||||||||
|
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| Phone | +1 561-278-3134 |
Authorized person
| Name | HEROLD FIGUEROA |
| Role | OFFICE MANAGER |
| Phone | 3057668451 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SEIDE MARIE | Agent | 2280 W ATLANTIC AVE, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| PETIOTE YVON | President | 2280 W ATLANTIC AVE, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| THOMAS NICOLE | Vice President | 2280 W ATLANTIC AVE, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| Seide Marie K | Secretary | 2280 W ATLANTIC AVE, DELRAY BEACH, FL, 33445 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-08-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-08-07 | SEIDE, MARIE | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-03 | 2280 W ATLANTIC AVE, DELRAY BEACH, FL 33445-4637 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-08-30 |
| AMENDED ANNUAL REPORT | 2023-08-07 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-03-03 |
| Domestic Profit | 2021-09-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
