| Entity Name: | PRIMARY HEALTHCARE ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 05 Aug 1994 (30 years ago) |
| Date of dissolution: | 26 Sep 1997 (27 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 1997 (27 years ago) |
| Document Number: | P94000058104 |
| FEI/EIN Number | N/A |
| Address: | 4300 SHERIDAN STREET, SUITE 143, HOLLYWOOD, FL 33021 |
| Mail Address: | 4300 SHERIDAN STREET, SUITE 143, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063544963 | 2007-03-09 | 2023-10-18 | 308 W BASS ST, KISSIMMEE, FL, 347415001, US | 308 W BASS ST, KISSIMMEE, FL, 347415001, US | |||||||||||||||||
|
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| Phone | +1 407-933-1760 |
Authorized person
| Name | DR. GUSTAVO ARVELO |
| Role | PHYSICIAN |
| Phone | 4079331760 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0061187 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SEIDENSTEIN, BRUCE R | Agent | 4300 SHERIDAN STREET SUITE 143, HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| SEIDENSTEIN, BRUCE R | Director | 4300 SHERIDAN STREET, #143 HOLLYWOOD, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1997-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1995-04-25 | 4300 SHERIDAN STREET, SUITE 143, HOLLYWOOD, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 1995-04-25 | 4300 SHERIDAN STREET, SUITE 143, HOLLYWOOD, FL 33021 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1995-04-25 | 4300 SHERIDAN STREET SUITE 143, HOLLYWOOD, FL 33021 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 1996-08-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
