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  5. PREMIER ENDOCRINOLOGY, PLLC

PREMIER ENDOCRINOLOGY, PLLC - Florida Company Profile

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Company Details

Entity Name: PREMIER ENDOCRINOLOGY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PREMIER ENDOCRINOLOGY, PLLC 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 07 Nov 2011 (14 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 08 Jan 2024 (2 years ago)
Document Number: L11000126344
FEI/EIN Number 453759585

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 3004 17TH STREET, ST. CLOUD, FL, 34769, US
Mail Address: 3004 17TH STREET, ST. CLOUD, FL, 34769, US
ZIP code: 34769
City: Saint Cloud
County: Osceola
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DIONARDO M. ENCARNACION M.D Manager 13881 LARKTON LN, ORLANDO, FL, 32832
FYNN THERESA AM.D. Manager 8727 BRIXFORD STREET, ORLANDO, FL, 32836
NTIM KWAME SM.D. Manager 1150 UMBRIA LANE, SAINT CLOUD, FL, 34771
Ntim Shirley Agent 3004 17TH STREET, ST. CLOUD, FL, 34769

National Provider Identifier

NPI Number:
1033487426
Certification Date:
2020-07-28
Link:
View on NPI website

Authorized Person:

Name:
DR. THERESA ADADZEWA FYNN
Role:
OWNER
Phone:
4075932910

Taxonomy:

Selected Taxonomy:
207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary:
Yes

Contacts:

Phone:
+1 407-593-2910
Fax:
4075932913

Form 5500 Series

Employer Identification Number (EIN):
453759585
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:
4075932910
File:
View File
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:
4075932910
File:
View File
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
4075932910
File:
View File
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
4075932910
File:
View File
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
4075932910
File:
View File

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-01-08 - -
REGISTERED AGENT NAME CHANGED 2022-02-14 Ntim, Shirley -
REGISTERED AGENT ADDRESS CHANGED 2022-02-14 3004 17TH STREET, ST. CLOUD, FL 34769 -
CHANGE OF PRINCIPAL ADDRESS 2013-02-01 3004 17TH STREET, ST. CLOUD, FL 34769 -
CHANGE OF MAILING ADDRESS 2013-02-01 3004 17TH STREET, ST. CLOUD, FL 34769 -

Documents

Name Date
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-02-09
LC Amendment 2024-01-08
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-02-14
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-01-22
ANNUAL REPORT 2017-04-30

USAspending Awards / Financial Assistance

Date:
2021-01-27
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
144000.00
Total Face Value Of Loan:
144000.00
Date:
2020-04-16
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
117500.00
Total Face Value Of Loan:
117500.00
Date:
2016-01-26
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
100000.00
Total Face Value Of Loan:
100000.00

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$144,000
Date Approved:
2021-01-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$144,000
Race:
American Indian or Alaska Native
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$145,152
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $143,994
Utilities: $1
Jobs Reported:
14
Initial Approval Amount:
$117,500
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$117,500
Race:
American Indian or Alaska Native
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$118,884.25
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $117,500

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Date of last update: 02 Jul 2025

Sources: Florida Department of State

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