| Entity Name: | PHYSICIAN MEDICAL SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Nov 2014 (10 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 12 Sep 2019 (5 years ago) |
| Document Number: | L14000178186 |
| FEI/EIN Number | 462394699 |
| Address: | 1260 NE 8th street, CAPE CORAL, FL, 33909, US |
| Mail Address: | 1260 NE 8th street, CAPE CORAL, FL, 33909, US |
| ZIP code: | 33909 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174915045 | 2015-03-02 | 2023-12-27 | 1260 NE 8TH ST STE 110, CAPE CORAL, FL, 339093169, US | 1260 NE 8TH ST STE 110, CAPE CORAL, FL, 339093169, US | |||||||||||||||||||||||||||
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| Phone | +1 239-573-7988 |
| Fax | 2395737898 |
Authorized person
| Name | DR. PATRICK KING |
| Role | OWNER |
| Phone | 2395737988 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| King Patrick Dr. | Agent | 909 S.E. 5TH AVENUE, DELRAY BEACH, FL, 33843 |
| Name | Role | Address |
|---|---|---|
| KING PATRICK | Authorized Member | 1260 NE 8TH STREET, CAPE CORAL, FL, 33909 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000121988 | PREMIER MEDICAL GROUP | ACTIVE | 2023-10-02 | 2028-12-31 | No data | 1260 NE 8TH STREET #110, CAPE CORAL, FL, 33909 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-16 | 1260 NE 8th street #110, CAPE CORAL, FL 33909 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-03 | King, Patrick, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-13 | 1260 NE 8th street, #110, CAPE CORAL, FL 33909 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-13 | 1260 NE 8th street, #110, CAPE CORAL, FL 33909 | No data |
| LC AMENDMENT | 2019-10-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-16 |
| LC Amendment | 2019-09-12 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-03-06 |
| AMENDED ANNUAL REPORT | 2017-10-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
