Detail by Entity Name

Florida Profit Corporation

PRIMECARE ACQUISITION FAMILY PRACTICE, INC.

Filing Information
P19000083427 84-3645866 11/07/2019 FL ACTIVE
Principal Address
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117

Changed: 03/30/2022
Mailing Address
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117

Changed: 03/30/2022
Registered Agent Name & Address DUVA, CHARLES, M.D.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117

Address Changed: 03/30/2022
Officer/Director Detail Name & Address

Title DIR

BARRY, WAYNE S, M.D.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117

Title DIR

CANALIZO, JOHN B, M.D.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117

Title DIR

CARAKER, MARK K, M.D.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117

Title DIR

DUVA, CHARLES D, M.D.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117

Title DIR

KNIGHT, STEPHEN S, M.D.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117

Title DIR

NEWCOMER, GERARD, M.D.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117

Title DIR

ROBERTS, J. JENNIFER, D.O.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117

Title DIR

WEINER, TRACY, D.O.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117

Annual Reports
Report YearFiled Date
2022 03/30/2022
2023 02/02/2023
2024 01/26/2024