| Entity Name: | PREMIER CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Nov 2006 (18 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 30 Jul 2007 (18 years ago) |
| Document Number: | L06000111021 |
| FEI/EIN Number | 300415919 |
| Address: | 7807 BAYMEADOWS RD EAST, STE 209, JACKSONVILLE, FL, 32256, US |
| Mail Address: | PO BOX 551076, JACKSONVILLE, FL, 32255, US |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316134323 | 2007-10-03 | 2011-02-16 | 7807 BAYMEADOWS RD E, SUITE 209, JACKSONVILLE, FL, 322569666, US | 7807 BAYMEADOWS RD E, SUITE 209, JACKSONVILLE, FL, 322569666, US | |||||||||||||||||||||||||
|
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| Phone | +1 904-565-9270 |
| Fax | 9045673058 |
Authorized person
| Name | DR. DINESH D. PATEL |
| Role | PRESIDENT |
| Phone | 9045659270 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| License Number | ME55622 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 373614800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Patel Dinesh D | Agent | 11207 Chester Lake Road West, Jacksonville, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| PATEL DINESH D | President | 7807 BAYMEADOWS RD E, SUITE 209, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2013-02-20 | Patel, Dinesh D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-02-20 | 11207 Chester Lake Road West, Jacksonville, FL 32256 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-29 | 7807 BAYMEADOWS RD EAST, STE 209, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-13 | 7807 BAYMEADOWS RD EAST, STE 209, JACKSONVILLE, FL 32256 | No data |
| LC NAME CHANGE | 2007-07-30 | PREMIER CLINIC, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-04-09 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-01-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
