| Entity Name: | PUTNAM PHYSICIANS GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Feb 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Nov 2024 (3 months ago) |
| Document Number: | L13000017007 |
| FEI/EIN Number | 46-1916187 |
| Address: | 6300 St John's Avenue, Palatka, FL, 32177, US |
| Mail Address: | PO Box 1601, Palatka, FL, 32178, US |
| ZIP code: | 32177 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1811368459 | 2015-10-08 | 2015-10-08 | 3426 NW 43RD ST, SUITE B, GAINESVILLE, FL, 326068156, US | 3426 NW 43RD ST, SUITE B, GAINESVILLE, FL, 326068156, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-338-2089 |
Authorized person
| Name | PERINCHERY NARAYAN |
| Role | PRESIDENT |
| Phone | 3523382089 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| License Number | ME54477 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME64833 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| License Number | ME81873 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | ME54534 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208800000X - Urology Physician |
| License Number | ME76357 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO2829 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO2712 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO2627 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Milanick John C | Agent | 116 Rachel Rd, Palatka, FL, 32177 |
| Name | Role | Address |
|---|---|---|
| Milanick John | Manager | 116 Rachael Rd, Palatka, FL, 32177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-11-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-12-04 | Milanick, John C | No data |
| REINSTATEMENT | 2018-12-04 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-12-04 | 116 Rachel Rd, Palatka, FL 32177 | No data |
| CHANGE OF MAILING ADDRESS | 2018-12-04 | 6300 St John's Avenue, Palatka, FL 32177 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-09 | 6300 St John's Avenue, Palatka, FL 32177 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-24 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-07-01 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-05-27 |
| ANNUAL REPORT | 2019-06-16 |
| REINSTATEMENT | 2018-12-04 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
