| Entity Name: | PREMIERMD SIM LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 22 Aug 2016 (8 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L16000157133 |
| FEI/EIN Number | 32-0504257 |
| Address: | 3465 GALT OCEAN DRIVE, SUITE 203, FT. LAUDERDALE, FL 33308 |
| Mail Address: | 3465 GALT OCEAN DRIVE, SUITE 203, FT. LAUDERDALE, FL 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023575495 | 2019-02-21 | 2019-02-21 | 3465 GALT OCEAN DR STE 203, FT LAUDERDALE, FL, 333087077, US | 3465 GALT OCEAN DR STE 203, FT LAUDERDALE, FL, 333087077, US | |||||||||||||||
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| Phone | +1 954-561-5135 |
| Fax | 9545669997 |
Authorized person
| Name | VICTOR TOLEDANO |
| Role | PRESIDENT |
| Phone | 9545615135 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Auerbach, Marc H, Esq. | Agent | 200 S. Biscayne Blvd., Suite 3000, Miami, FL 33131 |
| Name | Role | Address |
|---|---|---|
| TOLEDANO, VICTOR, MD | Authorized Member | 3465 GALT OCEAN DRIVE, SUITE 203, FT. LAUDERDALE, FL 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-05-01 | Auerbach, Marc H, Esq. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-05-01 | 200 S. Biscayne Blvd., Suite 3000, Miami, FL 33131 | No data |
| LC NAME CHANGE | 2018-11-20 | PREMIERMD SIM LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-05-01 |
| LC Name Change | 2018-11-21 |
| ANNUAL REPORT | 2018-03-19 |
| ANNUAL REPORT | 2017-04-27 |
| Florida Limited Liability | 2016-08-22 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
