| Entity Name: | A PREMIER MEDICAL RESEARCH OF FLORIDA, L.L.C |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Jan 2017 (8 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L17000019641 |
| FEI/EIN Number | 81-5124310 |
| Address: | 2275 N Volusia Ave, ORANGE CITY, 32763, UN |
| Mail Address: | 2111 HONTOON RD, DELAND, FL, 32720, UN |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043758782 | 2017-02-01 | 2017-02-01 | 2111 HONTOON RD, DELAND, FL, 327204308, US | 2728 ENTERPRISE RD STE 200, ORANGE CITY, FL, 327638276, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 386-747-9771 |
Authorized person
| Name | DR. GEORGE TATAW BESONG |
| Role | PRESIDENT & CEO |
| Phone | 3867479771 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| License Number | ME074829 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | ME92729 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BESONG GEORGE T | Agent | 2111 Hontoon Rd, Deland, FL, 32720 |
| Name | Role | Address |
|---|---|---|
| BESONG GEORGE T | Manager | 2111 HONTOON RD, DELAND, FL, 32720 |
| Name | Role | Address |
|---|---|---|
| Besong Sabine | Mrs | 2111 HONTOON RD, DELAND, 32720 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| LC REVOCATION OF DISSOLUTION | 2023-06-02 | No data | No data |
| VOLUNTARY DISSOLUTION | 2023-03-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-26 | 2275 N Volusia Ave, ORANGE CITY 32763 UN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-26 | 2111 Hontoon Rd, Deland, FL 32720 | No data |
| Name | Date |
|---|---|
| LC Revocation of Dissolution | 2023-06-02 |
| VOLUNTARY DISSOLUTION | 2023-03-13 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-04-14 |
| Florida Limited Liability | 2017-01-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
