| Entity Name: | PREMIER MEDICAL ASSOCIATES, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PREMIER MEDICAL ASSOCIATES, L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 17 Aug 2004 (21 years ago) |
| Date of dissolution: | 18 Feb 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 18 Feb 2024 (a year ago) |
| Document Number: | L04000061026 |
| FEI/EIN Number |
010821245
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | PO BOX 14056, BRADENTON, FL, 34280 |
| Address: | 2109 59TH STREET WEST, BRADENTON, FL, 34209 |
| ZIP code: | 34209 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
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| 1871609040 | 2006-08-21 | 2012-03-29 | PO BOX 14056, BRADENTON, FL, 342804056, US | 2109 59TH ST W, BRADENTON, FL, 342097015, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 941-761-3777 |
| Fax | 9417613779 |
Authorized person
| Name | DR. GUSTAVO B ARROJO |
| Role | OWNER |
| Phone | 9417613777 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0071298 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 251289100 |
| State | FL |
| Issuer | RAILROAD MEDICARE PTAN |
| Number | P00173098 |
| State | FL |
| Issuer | RR MEDICARE PIN |
| Number | DC5035 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ARROJO GUSTAVO M | Managing Member | 2109 59TH STREET WEST, BRADENTON, FL, 34209 |
| ARROJO MARTA E | Agent | 2109 59TH STREET WEST, BRADENTON, FL, 34209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-02-18 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-04 | 2109 59TH STREET WEST, BRADENTON, FL 34209 | - |
| CHANGE OF MAILING ADDRESS | 2006-04-04 | 2109 59TH STREET WEST, BRADENTON, FL 34209 | - |
| REGISTERED AGENT NAME CHANGED | 2006-04-04 | ARROJO, MARTA E | - |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-04 | 2109 59TH STREET WEST, BRADENTON, FL 34209 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-02-18 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-02-10 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-03-22 |
| ANNUAL REPORT | 2015-03-31 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 342088267 | 0420600 | 2017-02-08 | 411 N WEST ST., BUSHNELL, FL, 33513 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Complaint |
| Activity Nr | 1174884 |
| Safety | Yes |
| Health | Yes |
Violation Items
| Citation ID | 01001A |
| Citaton Type | Serious |
| Standard Cited | 19101030 C01 I |
| Issuance Date | 2017-04-25 |
| Current Penalty | 2933.4 |
| Initial Penalty | 4889.0 |
| Final Order | 2017-05-10 |
| Nr Instances | 1 |
| Nr Exposed | 6 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(c)(1)(i): The employer having employee(s) with occupational exposure did not establish a written Exposure Control Plan designed to eliminate or minimize employee exposure: a. On or about 02/08/2017, at the job site - employees exposed to bloodborne pathogens from needles were not provided a written Exposure Control Plan designed to eliminate or minimize employee exposure. |
| Citation ID | 01001B |
| Citaton Type | Serious |
| Standard Cited | 19101030 F01 I |
| Issuance Date | 2017-04-25 |
| Abatement Due Date | 2017-05-05 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2017-05-10 |
| Nr Instances | 1 |
| Nr Exposed | 6 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(f)(1)(i): The employer did not make available the hepatitis B vaccine and vaccination series to all employees who have occupational exposure: a. On or about 02/08/2017, at the job site - employees exposed to bloodborne pathogens from needles were not provided Hepatitis B vaccinations. |
| Citation ID | 01001C |
| Citaton Type | Serious |
| Standard Cited | 19101030 G02 I |
| Issuance Date | 2017-04-25 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2017-05-10 |
| Nr Instances | 1 |
| Nr Exposed | 6 |
| Gravity | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(g)(2)(i): The employer did not ensure that each employee with occupational exposure participated in a training program: a. On or about 02/08/2017, at the job site - employees exposed to bloodborne pathogens from needles were not provided bloodborne pathogen training. |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19040032 B06 |
| Issuance Date | 2017-04-25 |
| Abatement Due Date | 2017-05-05 |
| Current Penalty | 978.0 |
| Initial Penalty | 1630.0 |
| Final Order | 2017-05-10 |
| Nr Instances | 1 |
| Nr Exposed | 20 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1904.32(b)(6): The OSHA 300-A Summary was not posted by February 1 of the year following the year covered by the records and/or kept in place until April 30. a. On or about 02/08/2017, at the job site - the OSHA 300-A summary was not posted by February 1. |
| Citation ID | 02002 |
| Citaton Type | Other |
| Standard Cited | 19040040 A |
| Issuance Date | 2017-04-25 |
| Current Penalty | 978.0 |
| Initial Penalty | 1630.0 |
| Final Order | 2017-05-10 |
| Nr Instances | 1 |
| Nr Exposed | 20 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1904.40(a): The employer did not provide an authorized government representative the records within the four business hours. a. On or about 02/08/2017, at the job site - the employer failed to provide copies of OSHA 300 logs to an authorized representative within 4 businesses hours from the request. |
| Citation ID | 02003 |
| Citaton Type | Other |
| Standard Cited | 19100157 C01 |
| Issuance Date | 2017-04-25 |
| Abatement Due Date | 2017-05-05 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2017-05-10 |
| Nr Instances | 1 |
| Nr Exposed | 20 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.157(c)(1): Portable fire extinguishers were not mounted, located and identified so that they were readily accessible without subjecting the employees to injuries: a. On or about 02/08/2017, at the job site - fire extinguishers were not identified. |
| Citation ID | 02004 |
| Citaton Type | Other |
| Standard Cited | 19100157 G01 |
| Issuance Date | 2017-04-25 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2017-05-10 |
| Nr Instances | 1 |
| Nr Exposed | 20 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.157(g)(1): An educational program was not provided for all employees to familiarize them with the general principles of fire extinguisher use and the hazards involved with incipient stage fire fighting: a. On or about 02/08/2017, at the job site - the employer did not provide fire extinguisher training to employees required to extinguish incipient stage fires. |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5249707208 | 2020-04-27 | 0491 | PPP | 1580 Santa Barbara Blvd, The Villages, FL, 32159 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
