| Entity Name: | PREMIER WOMEN'S CARE OB/GYN PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jan 2017 (8 years ago) |
| Document Number: | L17000015289 |
| FEI/EIN Number | 81-5265951 |
| Address: | 950 1st Street South, Winter Haven, FL, 33880, US |
| Mail Address: | 2535 Partridge Drive, WINTER HAVEN, FL, 33884, US |
| ZIP code: | 33880 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235678756 | 2017-02-16 | 2017-02-16 | 2250 OSPREY BLVD, SUITE 104, BARTOW, FL, 338304340, US | 2250 OSPREY BLVD, SUITE 104, BARTOW, FL, 338304340, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 888-488-2702 |
| Fax | 8882359876 |
Authorized person
| Name | DR. SANJAY MOHAN RAMCHANDANI |
| Role | MANAGING DIRECTOR |
| Phone | 8884882702 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | ME125157 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CIGNA |
| Number | 8023183 |
| State | FL |
| Issuer | UPIN |
| Number | H65501 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAMCHANDANI SANJAY M | Agent | 950 1st Street South, Winter Haven, FL, 33880 |
| Name | Role | Address |
|---|---|---|
| RAMCHANDANI SANJAY M | Managing Member | 950 1st Street South, Winter Haven, FL, 33880 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-24 | 950 1st Street South, Suite 201, Winter Haven, FL 33880 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-24 | 950 1st Street South, Suite 201, Winter Haven, FL 33880 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-15 | 950 1st Street South, Suite 201, Winter Haven, FL 33880 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-07 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-03-15 |
| ANNUAL REPORT | 2019-07-14 |
| ANNUAL REPORT | 2018-01-21 |
| Florida Limited Liability | 2017-01-19 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
