| Entity Name: | PREMIER VALUE FAMILY MEDICINE,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Aug 2013 (11 years ago) |
| Document Number: | L13000120742 |
| FEI/EIN Number | 46-3517668 |
| Address: | 8352 SW 40 ST, MIAMI, FL 33155 |
| Mail Address: | 8352 SW 40 ST, MIAMI, FL 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487088050 | 2013-08-30 | 2022-08-09 | 8352 SW 40 STREET, MIAMI, FL, 331553354, US | 8352 SW 40 STREET, MIAMI, FL, 331553354, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 305-225-0707 |
| Fax | 8882081644 |
Authorized person
| Name | IDAYLIS MORONO-PONCE |
| Role | PHYSICIAN/PRESIDENT |
| Phone | 3052250707 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MORONO-PONCE, IDAYLIS | Agent | 8352 SW 40 ST, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| MORONO-PONCE, IDAYLIS, MD | Managing Member | 8352 SW 40 ST, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| Ponce, Rene | Secretary | 8352 SW 40 ST, MIAMI, FL 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-14 | 8352 SW 40 ST, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-14 | 8352 SW 40 ST, MIAMI, FL 33155 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-14 | 8352 SW 40 ST, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-05-14 |
| AMENDED ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-04-15 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
