Search icon

PHYSICIAN PARTNERS SPECIALTY SERVICES, LLC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: PHYSICIAN PARTNERS SPECIALTY SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Dec 2012 (13 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 26 Jul 2023 (2 years ago)
Document Number: L12000161411
FEI/EIN Number 46-1663163
Mail Address: 601 S HARBOUR ISLAND BLVD, TAMPA, FL, 33602, US
Address: 1714 SW 17TH STREET, OCALA, FL, 34471, US
ZIP code: 34471
City: Ocala
County: Marion
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
PAGIDIPATI RUDRAMA President 601 S HARBOUR ISLAND BLVD, TAMPA, FL, 33602
JANKOVIC GORAN Treasurer 601 S HARBOUR ISLAND BLVD, TAMPA, FL, 33602
HABER MICHAEL Secretary 601 S HARBOUR ISLAND BLVD, TAMPA, FL, 33602
POLEN MICHAEL Vice President 601 S HARBOUR ISLAND BLVD, TAMPA, FL, 33602

National Provider Identifier

NPI Number:
1356688899
Certification Date:
2023-02-06

Authorized Person:

Name:
SRIRAM SUNDARAMOORTHY
Role:
CHIEF COMPLIANCE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
No
Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
No
Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
No
Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
No
Selected Taxonomy:
207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary:
Yes

Contacts:

Fax:
8774050955
Fax:
3522610816

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000010582 PHYSICIAN PARTNERS SPECIALISTS EXPIRED 2014-01-30 2019-12-31 - 2955 SE 3RD COURT, OCALA, FL, 34471

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-02-13 1714 SW 17TH STREET, OCALA, FL 34471 -
REGISTERED AGENT NAME CHANGED 2023-07-26 C T CORPORATION SYSTEM -
REGISTERED AGENT ADDRESS CHANGED 2023-07-26 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -
LC STMNT OF RA/RO CHG 2023-07-26 - -
REINSTATEMENT 2023-01-03 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2015-04-27 1714 SW 17TH STREET, OCALA, FL 34471 -
LC AMENDMENT AND NAME CHANGE 2015-04-27 PHYSICIAN PARTNERS SPECIALTY SERVICES, LLC -

Documents

Name Date
ANNUAL REPORT 2024-02-13
CORLCRACHG 2023-07-26
REINSTATEMENT 2023-01-03
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-03-29
ANNUAL REPORT 2018-02-08
ANNUAL REPORT 2017-03-12
ANNUAL REPORT 2016-03-12
LC Amendment and Name Change 2015-04-27

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 01 Aug 2025

Sources: Florida Department of State