| Entity Name: | PRIMARY CARE CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Dec 1997 (27 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | P97000101696 |
| FEI/EIN Number | 593485576 |
| Address: | 825 FLORIDA AVENUE, LYNN HAVEN, FL, 32444 |
| Mail Address: | P. O. BOX 1199, LYNN HAVEN, FL, 32444, US |
| ZIP code: | 32444 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306803556 | 2006-04-28 | 2020-08-22 | PO BOX 1199, LYNN HAVEN, FL, 324441199, US | 825 FLORIDA AVE, LYNN HAVEN, FL, 324442335, US | |||||||||||||||
|
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| Phone | +1 850-265-3686 |
| Fax | 8502715665 |
Authorized person
| Name | DR. SAIF U RAHMAN |
| Role | PRESIDENT |
| Phone | 8502653686 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHIREEN RAHMAN | Agent | 825 FLORIDA AVE, LYNN HAVEN, FL, 32444 |
| Name | Role | Address |
|---|---|---|
| RAHMAN SAIF U | President | 825 FLORIDA AVENUE, LYNN HAVEN, FL, 32444 |
| Name | Role | Address |
|---|---|---|
| KHATTAK ASIM J | Director | 115 COTTONWOOD CIRCLE, LYNN HAVEN, FL, 32444 |
| Name | Role | Address |
|---|---|---|
| SHAH PARUL V | Secretary | 825 FLORIDA AVENUE, LYNN HAVEN, FL, 32444 |
| Name | Role | Address |
|---|---|---|
| MUSTAFA MARIF M | Treasurer | 825 FLORIDA AVE, LYNN HAVEN, FL, 32444 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2005-02-11 | 825 FLORIDA AVENUE, LYNN HAVEN, FL 32444 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-02-11 | 825 FLORIDA AVE, LYNN HAVEN, FL 32444 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-02-11 | SHIREEN, RAHMAN | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-07-23 | 825 FLORIDA AVENUE, LYNN HAVEN, FL 32444 | No data |
| REINSTATEMENT | 2001-12-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-04-26 |
| ANNUAL REPORT | 2005-09-08 |
| ANNUAL REPORT | 2005-02-11 |
| ANNUAL REPORT | 2004-07-23 |
| ANNUAL REPORT | 2003-03-10 |
| ANNUAL REPORT | 2002-09-11 |
| Reg. Agent Change | 2001-12-26 |
| REINSTATEMENT | 2001-12-06 |
| Reinstatement | 2001-12-06 |
| ANNUAL REPORT | 2000-03-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
