| Entity Name: | PREMIERMD TELEMEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jan 2015 (10 years ago) |
| Document Number: | L15000012265 |
| FEI/EIN Number | 81-1107863 |
| Address: | 3465 GALT OCEAN DRIVE #201, FORT LAUDERDALE, FL, 33308, US |
| Mail Address: | po box 11457, FORT LAUDERDALE, FL, 33339, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689150880 | 2018-07-11 | 2018-07-11 | 3465 GALT OCEAN DR STE 204, FORT LAUDERDALE, FL, 333087077, US | 3465 GALT OCEAN DR STE 204, FORT LAUDERDALE, FL, 333087077, US | |||||||||||||||
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| Phone | +1 954-561-5135 |
| Fax | 9542522565 |
Authorized person
| Name | VICTOR TOLEDANO |
| Role | PRESIDENT |
| Phone | 9545615135 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TOLEDANO VICTOR M.D. | Agent | 3465 GALT OCEAN DRIVE #202, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| Toledano Victor MD | Manager | po box 11457, FORT LAUDERDALE, FL, 33339 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000073558 | PREMIERMD TELEHEALTH AND WELLNESS | ACTIVE | 2024-06-13 | 2029-12-31 | No data | 3465 GALT OCEAN DRIVE, SUITE 201, FT. LAUDERDALE, FL, 33308 |
| G16000010255 | PREMIERMD TELEHEALTH AND WELLNESS | EXPIRED | 2016-01-28 | 2021-12-31 | No data | 3465 GALT OCEAN DRIVE #101, FORT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-03-06 | 3465 GALT OCEAN DRIVE #201, FORT LAUDERDALE, FL 33308 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-07 | 3465 GALT OCEAN DRIVE #201, FORT LAUDERDALE, FL 33308 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-07 | 3465 GALT OCEAN DRIVE #202, FORT LAUDERDALE, FL 33308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-03-28 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-18 |
| Florida Limited Liability | 2015-01-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
