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PRIVATE PHYSICIANS, PLC

Company Details

Entity Name: PRIVATE PHYSICIANS, PLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Oct 2006 (18 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 05 Feb 2007 (18 years ago)
Document Number: L06000101492
FEI/EIN Number 205777950
Address: 900 E. OCEAN BLVD., STE. 215B, STUART, FL, 34994
Mail Address: 900 E. OCEAN BLVD., STE. 215B, STUART, FL, 34994
ZIP code: 34994
County: Martin
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588330641 2021-08-19 2021-08-19 900 SE OCEAN BLVD # 215B, STUART, FL, 349942471, US 900 SE OCEAN BLVD # 215B, STUART, FL, 349942471, US

Contacts

Phone +1 772-781-5434
Fax 7727815478

Authorized person

Name CHERYL JORDAN
Role MANAGING PARTNER
Phone 7722146654

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIVATE PHYSICIANS PLC 2023 205777950 2024-09-05 PRIVATE PHYSICIANS PLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-10-01
Business code 621111
Sponsor’s telephone number 7722146654
Plan sponsor’s address 900 SE OCEAN BLVD STE 215B, STUART, FL, 34994

Signature of

Role Plan administrator
Date 2024-09-05
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
PRIVATE PHYSICIANS PLC 2022 205777950 2023-06-29 PRIVATE PHYSICIANS PLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-10-01
Business code 621111
Sponsor’s telephone number 7722146654
Plan sponsor’s address 900 SE OCEAN BLVD STE 215B, STUART, FL, 34994

Signature of

Role Plan administrator
Date 2023-06-29
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JORDAN CHERYL Agent 900 E. OCEAN BLVD., STE. 215B, STUART, FL, 34994

Manager

Name Role Address
JORDAN CHERYL Manager 900 E. OCEAN BLVD., STE. 215B, STUART, FL, 34994

Assi

Name Role Address
Turner Gracie Assi 900 E. OCEAN BLVD., STE. 215B, STUART, FL, 34994

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2010-03-02 900 E. OCEAN BLVD., STE. 215B, STUART, FL 34994 No data
CHANGE OF MAILING ADDRESS 2010-03-02 900 E. OCEAN BLVD., STE. 215B, STUART, FL 34994 No data
REGISTERED AGENT ADDRESS CHANGED 2010-03-02 900 E. OCEAN BLVD., STE. 215B, STUART, FL 34994 No data
LC NAME CHANGE 2007-02-05 PRIVATE PHYSICIANS, PLC No data

Documents

Name Date
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-02-22
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-07-01
ANNUAL REPORT 2020-05-26
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-03-02
ANNUAL REPORT 2017-01-23
ANNUAL REPORT 2016-02-16
ANNUAL REPORT 2015-01-13

Date of last update: 01 Feb 2025

Sources: Florida Department of State