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PROMISE MEDICAL GROUP, PLLC - Florida Company Profile

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Company Details

Entity Name: PROMISE MEDICAL GROUP, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Sep 2012 (13 years ago)
Document Number: L12000114063
FEI/EIN Number 46-0918380
Address: 9202 NW 26th Street, Wildwood, FL, 34785, US
Mail Address: 9202 NW 26th Street, Wildwood, FL, 34785, US
ZIP code: 34785
City: Wildwood
County: Sumter
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
STEPHENSON DAVID W Managing Member 9202 NW 26th Street, Wildwood, FL, 34785
STEPHENSON DAVID W Agent 9202 NW 26th Street, Wildwood, FL, 34785

National Provider Identifier

NPI Number:
1043560832
Certification Date:
2024-07-29

Authorized Person:

Name:
DR. DAVID WAYNE STEPHENSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3525714349

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-03-28 9202 NW 26th Street, Wildwood, FL 34785 -
CHANGE OF MAILING ADDRESS 2018-03-28 9202 NW 26th Street, Wildwood, FL 34785 -
REGISTERED AGENT ADDRESS CHANGED 2018-03-28 9202 NW 26th Street, Wildwood, FL 34785 -

Documents

Name Date
ANNUAL REPORT 2024-02-29
ANNUAL REPORT 2023-02-22
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-03-25
ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2017-03-23
ANNUAL REPORT 2016-04-18
ANNUAL REPORT 2015-04-09

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Date of last update: 01 Aug 2025

Sources: Florida Department of State