Entity Name: | PREMIER INTERNAL MEDICINE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 23 Sep 2009 (15 years ago) |
Date of dissolution: | 27 Sep 2013 (11 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2013 (11 years ago) |
Document Number: | L09000091773 |
FEI/EIN Number | 27-1170929 |
Address: | 7960 SW 60TH AVE, OCALA, FL 34476 |
Mail Address: | 7960 SW 60TH AVE, OCALA, FL 34476 |
ZIP code: | 34476 |
County: | Marion |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1144546664 | 2010-04-08 | 2011-08-12 | 7960 SW 60TH AVE, OCALA, FL, 344766457, US | 7960 SW 60TH AVE, OCALA, FL, 344766457, US | |||||||||||||||
|
Phone | +1 352-671-6741 |
Fax | 3526716742 |
Authorized person
Name | MARIA C BOTELHO |
Role | BILLING SUPERVISOR |
Phone | 3526716741 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ROGOZINA S, VETLANA Y | Agent | 4098 SW 51ST TER, OCALA, FL 34474 |
Name | Role | Address |
---|---|---|
ROGOZINA, SVETLANA Y | Managing Member | 4098 SW 51ST TER, OCALA, FL 34474 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
CHANGE OF MAILING ADDRESS | 2011-01-05 | 7960 SW 60TH AVE, OCALA, FL 34476 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2010-02-17 | 7960 SW 60TH AVE, OCALA, FL 34476 | No data |
REGISTERED AGENT NAME CHANGED | 2010-02-17 | ROGOZINA S, VETLANA Y | No data |
REGISTERED AGENT ADDRESS CHANGED | 2010-02-17 | 4098 SW 51ST TER, OCALA, FL 34474 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2012-01-05 |
ANNUAL REPORT | 2011-01-05 |
ANNUAL REPORT | 2010-02-17 |
Address Change | 2009-10-06 |
Florida Limited Liability | 2009-09-23 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State