| Entity Name: | PIONEER MANAGED CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Sep 2012 (12 years ago) |
| Document Number: | L12000116988 |
| FEI/EIN Number | 46-0976641 |
| Address: | 1072 CEASARS CT, MOUNT DORA, FL, 32757, US |
| Mail Address: | 18848 US HWY 441, #414, MOUNT DORA, FL, 32757, US |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427309988 | 2012-09-25 | 2012-09-25 | 18848 US HIGHWAY 441, #414, MOUNT DORA, FL, 327576700, US | 1000 WATERMAN WAY, TAVARES, FL, 327785266, US | |||||||||||||||||
|
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| Phone | +1 352-308-3117 |
| Fax | 9045178123 |
| Phone | +1 352-253-3333 |
Authorized person
| Name | JIGNA H SHAH |
| Role | OWNER |
| Phone | 3523083117 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAH JIGNA | Agent | 1072 CEASARS CT, MOUNT DORA, FL, 32757 |
| Name | Role | Address |
|---|---|---|
| SHAH JIGNA | Managing Member | 1072 CEASARS CT, MOUNT DORA, FL, 32757 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-02-13 |
| ANNUAL REPORT | 2021-04-17 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-14 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-24 |
| ANNUAL REPORT | 2015-04-25 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
