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PREMIUM PRIMARY CARE & WALK-IN CLINIC INC. - Florida Company Profile

Company Details

Entity Name: PREMIUM PRIMARY CARE & WALK-IN CLINIC INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PREMIUM PRIMARY CARE & WALK-IN CLINIC INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 15 Nov 2023 (a year ago)
Document Number: P23000080547
FEI/EIN Number 93-4507342

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1801 SE HILLMOOR DRIVE, UNIT A-107, PORT SAINT LUCIE, FL, 34952, US
Mail Address: 1801 SE HILLMOOR DRIVE, UNIT A-107, PORT SAINT LUCIE, FL, 34952, US
ZIP code: 34952
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700654167 2023-12-15 2023-12-15 1801 SE HILLMOOR DR UNIT A-107P, PORT ST LUCIE, FL, 349527553, US 1801 SE HILLMOOR DR UNIT A-107P, PORT ST LUCIE, FL, 349527553, US

Contacts

Phone +1 772-446-0950
Fax 7724460956

Authorized person

Name PATRICK A VERGEL DE DIOS
Role APRN
Phone 7724460950

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Key Officers & Management

Name Role Address
VERGEL DE DIOS PATRICK President 1801 SE HILLMOOR DRIVE UNIT A-107, PORT SAINT LUCIE, FL, 34952
VERGEL DE DIOS PATRICK Agent 1801 SE HILLMOOR DRIVE, PORT SAINT LUCIE, FL, 34952

Documents

Name Date
ANNUAL REPORT 2025-01-28
ANNUAL REPORT 2024-01-10
Domestic Profit 2023-11-15

Date of last update: 02 Apr 2025

Sources: Florida Department of State