| Entity Name: | PREMIUM HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Jun 2017 (8 years ago) |
| Document Number: | L17000125770 |
| FEI/EIN Number | 83-0994588 |
| Address: | 2400 SW 69 AVENUE, MIAMI, FL 33155 |
| Mail Address: | 2400 SW 69 AVENUE, MIAMI, FL 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932772613 | 2021-07-21 | 2021-07-21 | 2400 SW 69TH AVE STE 120, MIAMI, FL, 331552947, US | 2400 SW 69TH AVE STE 120, MIAMI, FL, 331552947, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 305-413-5070 |
| Fax | 3058593482 |
Authorized person
| Name | MS. KAREN SUE SCHINDELL |
| Role | PHARMACY MANAGER |
| Phone | 3054135070 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PH33479 |
| State | FL |
| Issuer | INSURANCE PROVIDERS |
| Number | PH33479 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Sztyndor, Robyn Lynn, Esq. | Agent | 2400 SW 69 AVENUE, MIAMI, FL 33155 |
| Name | Role |
|---|---|
| PREMIUM HEALTHCARE MANAGEMENT, LLC | Director |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000061433 | PREMIUM HEALTH CARE PHARMACY | ACTIVE | 2022-05-17 | 2027-12-31 | No data | 2400 SW 69TH AVE, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-18 | Sztyndor, Robyn Lynn, Esq. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-18 | 2400 SW 69 AVENUE, MIAMI, FL 33155 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-02 | 2400 SW 69 AVENUE, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2020-10-02 | 2400 SW 69 AVENUE, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-18 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-04-09 |
| AMENDED ANNUAL REPORT | 2020-10-02 |
| ANNUAL REPORT | 2020-07-19 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-07-24 |
| Florida Limited Liability | 2017-06-08 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
