Detail by Entity Name
Florida Profit Corporation
PRIMECARE ACQUISITION FAMILY PRACTICE, INC.
Filing Information
P19000083427
84-3645866
11/07/2019
FL
ACTIVE
Principal Address
Changed: 03/30/2022
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117
Suite 130
Daytona Beach, FL 32117
Changed: 03/30/2022
Mailing Address
Changed: 03/30/2022
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117
Suite 130
Daytona Beach, FL 32117
Changed: 03/30/2022
Registered Agent Name & Address
DUVA, CHARLES, M.D.
Address Changed: 03/30/2022
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117
Suite 130
Daytona Beach, FL 32117
Address Changed: 03/30/2022
Officer/Director Detail
Name & Address
Title DIR
BARRY, WAYNE S, M.D.
Title DIR
CANALIZO, JOHN B, M.D.
Title DIR
CARAKER, MARK K, M.D.
Title DIR
DUVA, CHARLES D, M.D.
Title DIR
KNIGHT, STEPHEN S, M.D.
Title DIR
NEWCOMER, GERARD, M.D.
Title DIR
ROBERTS, J. JENNIFER, D.O.
Title DIR
WEINER, TRACY, D.O.
Title DIR
BARRY, WAYNE S, M.D.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117
Suite 130
Daytona Beach, FL 32117
Title DIR
CANALIZO, JOHN B, M.D.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117
Suite 130
Daytona Beach, FL 32117
Title DIR
CARAKER, MARK K, M.D.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117
Suite 130
Daytona Beach, FL 32117
Title DIR
DUVA, CHARLES D, M.D.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117
Suite 130
Daytona Beach, FL 32117
Title DIR
KNIGHT, STEPHEN S, M.D.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117
Suite 130
Daytona Beach, FL 32117
Title DIR
NEWCOMER, GERARD, M.D.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117
Suite 130
Daytona Beach, FL 32117
Title DIR
ROBERTS, J. JENNIFER, D.O.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117
Suite 130
Daytona Beach, FL 32117
Title DIR
WEINER, TRACY, D.O.
1890 LPGA Blvd
Suite 130
Daytona Beach, FL 32117
Suite 130
Daytona Beach, FL 32117
Annual Reports
Report Year | Filed Date |
2022 | 03/30/2022 |
2023 | 02/02/2023 |
2024 | 01/26/2024 |
Document Images