| Entity Name: | AMERICAN PRIMARY CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Jun 1998 (27 years ago) |
| Document Number: | P98000056258 |
| FEI/EIN Number | 593520160 |
| Address: | 2855 US Alt 19 N, PALM HARBOR, FL, 34683, US |
| Mail Address: | 2855 US Alt 19 N, PALM HARBOR, FL, 34683, US |
| ZIP code: | 34683 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194755439 | 2006-07-03 | 2017-02-16 | 2855 ALT 19, PALM HARBOR, FL, 346831926, US | 2855 ALT 19, PALM HARBOR, FL, 346831926, US | |||||||||||||||||||||||||||||||
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| Phone | +1 727-771-7200 |
| Fax | 7272161396 |
Authorized person
| Name | DR. SADHANA A SHAH |
| Role | OWNER/PRACTITIONER |
| Phone | 7277717200 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 39957 |
| State | FL |
| Issuer | MEDICAID |
| Number | 280292900 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | DF8214 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMERICAN PRIMARY CARE INC 401K PROFIT SHARING PLAN AND TRUST | 2017 | 593520160 | 2019-06-06 | AMERICAN PRIMARY CARE INC | 6 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2019-06-06 |
| Name of individual signing | BRIAN HUBBARD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-06-06 |
| Name of individual signing | BRIAN HUBBARD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2013-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7277717200 |
| Plan sponsor’s address | 2855 ALT 19, PALM HARBOR, FL, 346831926 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-06 |
| Name of individual signing | RAM RAMCHARRAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2013-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7277717200 |
| Plan sponsor’s address | 2595 TAMPA ROAD SUITE N, PALM HARBOR, FL, 34684 |
Signature of
| Role | Plan administrator |
| Date | 2016-06-16 |
| Name of individual signing | BRIAN HUBBARD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2013-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7277717200 |
| Plan sponsor’s address | 2595 TAMPA ROAD, STE N, PALM HARBOR, FL, 34684 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-23 |
| Name of individual signing | BRIAN HUBBARD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2013-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7277717200 |
| Plan sponsor’s address | 2595 TAMPA ROAD, STE N, PALM HARBOR, FL, 34684 |
Signature of
| Role | Plan administrator |
| Date | 2014-05-27 |
| Name of individual signing | BRIAN HUBBARD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Ramcharran Malhar | Agent | 2855 US Alt 19 N, PALM HARBOR, FL, 34683 |
| Name | Role | Address |
|---|---|---|
| Ramcharran Ram Dr. | President | 2855 US Alt 19 N, PALM HARBOR, FL, 34683 |
| Ramcharran Family Trust | President | 2855 US Alt 19 N, PALM HARBOR, FL, 34683 |
| Name | Role | Address |
|---|---|---|
| Ramcharran Family Trust | Vice President | 2855 US Alt 19 N, PALM HARBOR, FL, 34683 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-25 | Ramcharran, Malhar | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-27 | 2855 US Alt 19 N, PALM HARBOR, FL 34683 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-27 | 2855 US Alt 19 N, PALM HARBOR, FL 34683 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-27 | 2855 US Alt 19 N, PALM HARBOR, FL 34683 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-01-31 |
| AMENDED ANNUAL REPORT | 2021-10-11 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-03-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
