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  5. PREMIER FAMILY AND SPORTS MEDICINE, LLC

PREMIER FAMILY AND SPORTS MEDICINE, LLC - Florida Company Profile

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Company Details

Entity Name: PREMIER FAMILY AND SPORTS MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Jun 2012 (13 years ago)
Document Number: L12000085273
FEI/EIN Number 460543784
Address: 2940 MAGUIRE ROAD, OCOEE, FL, 34761, US
Mail Address: 2940 MAGUIRE ROAD, OCOEE, FL, 34761, US
ZIP code: 34761
City: Ocoee
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VISSER GARY C Manager 2940 MAGUIRE ROAD, OCOEE, FL, 34761
LANGLEY ADAM W Manager 2940 MAGUIRE ROAD, OCOEE, FL, 34761
Visser Gary Agent 2940 MAGUIRE ROAD, OCOEE, FL, 34761

National Provider Identifier

NPI Number:
1184970626
Link:
View on NPI website

Authorized Person:

Name:
DR. ADAM LANGLEY
Role:
CO-OWNER/PHYSICIAN
Phone:
4075819065

Taxonomy:

Selected Taxonomy:
207QS0010X - Sports Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Phone:
+1 407-581-9065
Fax:
3213485827

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000016420 RENUMED AESTHETICS ACTIVE 2025-02-04 2030-12-31 - 2940 MAGUIRE RD, SUITE 300, OCOEE, FL, 34761
G12000093670 PREMIERMED EXPIRED 2012-09-24 2017-12-31 - 2658 MAGUIRE ROAD, OCOEE, FL, 34761

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-02-24 Visser, Gary -
CHANGE OF PRINCIPAL ADDRESS 2018-02-13 2940 MAGUIRE ROAD, SUITE 200, OCOEE, FL 34761 -
CHANGE OF MAILING ADDRESS 2018-02-13 2940 MAGUIRE ROAD, SUITE 200, OCOEE, FL 34761 -
REGISTERED AGENT ADDRESS CHANGED 2018-02-13 2940 MAGUIRE ROAD, SUITE 200, OCOEE, FL 34761 -

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-02-14
ANNUAL REPORT 2022-02-24
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-02-13
ANNUAL REPORT 2017-03-15
ANNUAL REPORT 2016-03-30
ANNUAL REPORT 2015-01-08

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:
171207.50
Total Face Value Of Loan:
171207.50
Date:
2020-07-09
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
0.00
Date:
2020-04-13
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:
159237.00
Total Face Value Of Loan:
159237.00

Paycheck Protection Program

Jobs Reported:
19
Initial Approval Amount:
$159,237
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$159,237
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$160,422.43
Servicing Lender:
Valley National Bank
Use of Proceeds:
Payroll: $159,237
Jobs Reported:
20
Initial Approval Amount:
$171,207.5
Date Approved:
2021-01-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$171,207.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$172,210.97
Servicing Lender:
Valley National Bank
Use of Proceeds:
Payroll: $171,203.5
Utilities: $1

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2940 MAGUIRE ROAD, LLC, which currently Active, has registered address 2940 MAGUIRE ROAD, OCOEE, FL, 34761, US.
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Date of last update: 02 Aug 2025

Sources: Florida Department of State

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