| Entity Name: | PREMIER PHYSICIAN ASSOCIATES,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 02 Mar 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L15000046184 |
| Address: | 13651 HUNTERS OAK DR, STE 101, ORLANDO, FL 32837 |
| Mail Address: | P O BOX 4648, ORLANDO, FL 32802 |
| ZIP code: | 32837 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396138319 | 2015-03-16 | 2015-03-16 | PO BOX 2648, ORLANDO, FL, 328022648, US | 13651 HUNTERS OAK DR, STE 101, ORLANDO, FL, 328377679, US | |||||||||||||||||||||||||
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| Phone | +1 321-946-6864 |
Authorized person
| Name | DR. VIOLA JACOBS |
| Role | OWNER |
| Phone | 3219466864 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME90116 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME85807 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JACOB, VIOLA, MD | Agent | 15725 WILLO PINES LN, MONTVERDE, FL 34756 |
| Name | Role | Address |
|---|---|---|
| JACOB, VILOA, MD | Authorized Member | 15725 WILLO PINES LN, MONTVERDE, FL 34756 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2015-03-02 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
