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PREMIERMD IPA HEALTHCARE LLC - Florida Company Profile

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Company Details

Entity Name: PREMIERMD IPA HEALTHCARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Jan 2017 (9 years ago)
Document Number: L17000002862
FEI/EIN Number 81-4884980
Address: 3465 GALT OCEAN DRIVE, SUITE 202, FT. LAUDERDALE, FL, 33308, US
Mail Address: po box 11457, FT. LAUDERDALE, FL, 33339, US
ZIP code: 33308
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TOLEDANO VICTOR MD Manager 3465 GALT OCEAN DRIVE, #202, FT. LAUDERDALE, FL, 33308
WONG ANTONIO Manager 501 NW 179 Ave, Pembroke Pines, FL, 33029
JENSEN WILLIAM Manager 1800 N Federal Hwy ste 104, Pompano Beach, FL, 33062
SILVERSTEIN SCOTT MD Manager 729 E Atlantic Blvd, Pompano Beach, FL, 33060
Toledano Victor Agent 3465 GALT OCEAN DRIVE, FT. LAUDERDALE, FL, 33308

National Provider Identifier

NPI Number:
1154807352

Authorized Person:

Name:
VICTOR TOLEDANO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
302F00000X - Exclusive Provider Organization
Is Primary:
Yes

Contacts:

Fax:
9542522565

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-20 3465 GALT OCEAN DRIVE, SUITE 202, FT. LAUDERDALE, FL 33308 -
CHANGE OF MAILING ADDRESS 2022-04-20 3465 GALT OCEAN DRIVE, SUITE 202, FT. LAUDERDALE, FL 33308 -
REGISTERED AGENT ADDRESS CHANGED 2022-04-20 3465 GALT OCEAN DRIVE, SUITE 202, FT. LAUDERDALE, FL 33308 -
REGISTERED AGENT NAME CHANGED 2020-04-27 Toledano, Victor -

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-03-03
ANNUAL REPORT 2022-04-20
ANNUAL REPORT 2021-04-23
ANNUAL REPORT 2020-04-27
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-04-25
Florida Limited Liability 2017-01-04

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Date of last update: 01 Aug 2025

Sources: Florida Department of State