| Entity Name: | PREMIER MEDICAL ASSOCIATES ALL FLORIDA, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PREMIER MEDICAL ASSOCIATES ALL FLORIDA, L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 31 Dec 2013 (11 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 04 Oct 2016 (9 years ago) |
| Document Number: | L14000002958 |
| FEI/EIN Number |
59-3538029
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1580 SANTA BARBARA BLVD, THE VILLAGES, FL, 32159, US |
| Mail Address: | 1580 SANTA BARBARA BLVD, THE VILLAGES, FL, 32159, US |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093829442 | 2006-08-19 | 2022-11-16 | 1580 SANTA BARBARA BLVD, THE VILLAGES, FL, 321596827, US | 1580 SANTA BARBARA BLVD, SUITE C, THE VILLAGES, FL, 32159, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-259-2159 |
| Fax | 3526744386 |
| Fax | 3522595731 |
Authorized person
| Name | CYNTHIA ROMSKA |
| Role | CREDENTIALING SPECIALIST |
| Phone | 3522592159 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0069935 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | ME95629 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| License Number | ARNP3378652 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004699000 |
| State | FL |
| Issuer | PTAN |
| Number | K3300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PREMIER LAW GROUP, LLC | Agent | - |
| KHANNA DINESH | Manager | 1580 SANTA BARBARA BLVD, THE VILLAGES, FL, 32159 |
| KHANNA SEEMA | Manager | 1580 SANTA BARBARA BLVD, THE VILLAGES, FL, 32159 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000071965 | PREMIER MEDICAL ASSOCIATES | ACTIVE | 2018-06-27 | 2028-12-31 | - | 1580 SANTA BARBARA BLVD, THE VILLAGES, FL, 32159 |
| G14000011844 | DINESH KHANNA, M.D., P.A. | EXPIRED | 2014-02-04 | 2019-12-31 | - | 2120 SW 55TH STREET ROAD, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-05-01 | PREMIER LAW GROUP, LLC | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-01 | 410 W. GULF ATLANTIC HWY, WILDWOOD, FL 34785 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-06-27 | 1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159 | - |
| CHANGE OF MAILING ADDRESS | 2018-06-27 | 1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159 | - |
| LC NAME CHANGE | 2016-10-04 | PREMIER MEDICAL ASSOCIATES ALL FLORIDA, L.L.C. | - |
| CONVERSION | 2013-12-31 | - | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P98000084990. CONVERSION NUMBER 500000137435 |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000430587 | TERMINATED | 1000000785839 | SUMTER | 2018-06-13 | 2028-06-20 | $ 8,814.59 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 1904 THOMAS AVE STE 103, LEESBURG FL347483289 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-01-09 |
| ANNUAL REPORT | 2018-02-08 |
| ANNUAL REPORT | 2017-02-08 |
| LC Name Change | 2016-10-04 |
| ANNUAL REPORT | 2016-02-06 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
