| Entity Name: | CENTRACORE MEDICAL CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Jan 2023 (2 years ago) |
| Date of dissolution: | 21 Mar 2024 (10 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 21 Mar 2024 (10 months ago) |
| Document Number: | P23000005786 |
| Address: | 3900 CLARK RD, UNIT L2, SARASOTA, FL, 34233 |
| Mail Address: | 3900 CLARK RD, UNIT L2, SARASOTA, FL, 34233 |
| ZIP code: | 34233 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033815667 | 2023-02-06 | 2023-02-06 | 3900 CLARK RD STE L2, SARASOTA, FL, 342332375, US | 3900 CLARK RD STE L2, SARASOTA, FL, 342332375, US | |||||||||||||||
|
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| Phone | +1 941-208-2388 |
| Fax | 9412082389 |
Authorized person
| Name | JOHN YEE |
| Role | CEO |
| Phone | 9412082388 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FLORIDA PRIMARY PHYSICIANS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| LUONG PRISCILLA | Chief Executive Officer | 3900 CLARK RD UNIT L2, SARASOTA, FL, 34233 |
| Name | Role | Address |
|---|---|---|
| YEE JOHN | Chief Financial Officer | 3900 CLARK RD UNIT L2, SARASOTA, FL, 34233 |
| Name | Role |
|---|---|
| FLORIDA PRIMARY PHYSICIANS, LLC | Chief Operating Officer |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-21 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-21 |
| Domestic Profit | 2023-01-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
