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PREMIER INTERNAL MEDICINE, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
ROGOZINA S, VETLANA Y Agent 4098 SW 51ST TER, OCALA, FL 34474

Managing Member

Name Role Address
ROGOZINA, SVETLANA Y Managing Member 4098 SW 51ST TER, OCALA, FL 34474

Events

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

Documents

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