| Entity Name: | PREMIERMD MSO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Apr 2012 (13 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L12000057758 |
| FEI/EIN Number | 460766367 |
| Address: | 3465 GALT OCEAN DRIVE STE 203, FORT LAUDERDALE, FL, 33308 |
| Mail Address: | 3465 GALT OCEAN DRIVE STE 203, FORT LAUDERDALE, FL, 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194129759 | 2014-10-10 | 2022-07-21 | 3465 GALT OCEAN DR, SUITE#203, FT LAUDERDALE, FL, 333087077, US | 3465 GALT OCEAN DR, SUITE#203, FT LAUDERDALE, FL, 333087077, US | |||||||||||||||
|
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| Phone | +1 954-561-5135 |
Authorized person
| Name | DR. VICTOR TOLEDANO |
| Role | MANAGING MEMBER |
| Phone | 9545667717 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SILVERSTEIN SCOTT D.O. | Agent | 3465 GALT OCEAN DRIVE STE 203, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| TOLEDANO VICTOR Dr. | Manager | 3465 GALT OCEAN DRIVE, FORT LAUDERDALE, FL, 33308 |
| MCKENZIE WILFRED Dr. | Manager | 1625 SE THIRD AVENUE, FORT LAUDERDALE, FL, 33316 |
| GRAFF ALAN Dr. | Manager | 3061 E. COMMERCIAL BLVD., FORT LAUDERDALE, FL, 33308 |
| SILVERSTEIN SCOTT ADr. | Manager | 729 E. ATLANTIC BLVD., POMPANO BEACH, FL, 33060 |
| WONG ANTONIO Dr. | Manager | 501 N.W. 179 AVENUE, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| FATER DAVID | Chief Operating Officer | 3465 GALT OCEAN DRIVE STE 203, FORT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| LC AMENDMENT | 2014-05-06 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-05-06 | 3465 GALT OCEAN DRIVE STE 203, FORT LAUDERDALE, FL 33308 | No data |
| CHANGE OF MAILING ADDRESS | 2014-05-06 | 3465 GALT OCEAN DRIVE STE 203, FORT LAUDERDALE, FL 33308 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-05-06 | 3465 GALT OCEAN DRIVE STE 203, FORT LAUDERDALE, FL 33308 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-24 | SILVERSTEIN, SCOTT, D.O. | No data |
| LC NAME CHANGE | 2012-08-08 | PREMIERMD MSO, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-12 |
| LC Amendment | 2014-05-06 |
| ANNUAL REPORT | 2014-02-25 |
| Reg. Agent Change | 2013-04-24 |
| ANNUAL REPORT | 2013-01-15 |
| LC Name Change | 2012-08-08 |
| Florida Limited Liability | 2012-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
