| Entity Name: | PREMIER PHYSICIANS ORLANDO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Aug 2018 (6 years ago) |
| Last Event: | LC STMNT CORR/NC |
| Event Date Filed: | 24 Aug 2018 (6 years ago) |
| Document Number: | L18000197932 |
| FEI/EIN Number | 83-2188056 |
| Address: | 331 N. MAITLAND AVENUE, BUILDING C1, MAITLAND, FL, 32751, US |
| Mail Address: | 331 N. MAITLAND AVENUE, BUILDING C1, MAITLAND, FL, 32751, US |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215403464 | 2018-10-15 | 2024-02-20 | 331 N MAITLAND AVE STE C1, MAITLAND, FL, 327514754, US | 331 N MAITLAND AVE STE C1, MAITLAND, FL, 327514754, US | |||||||||||||||
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| Phone | +1 407-644-2218 |
| Fax | 4076449260 |
Authorized person
| Name | DR. SANDEEP PANDYA |
| Role | CEO |
| Phone | 4076442218 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EVANS DAVID L | Agent | 225 E. ROBINSON ST, ORLANDO, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| PANDYA SANDEEP M.D. | Manager | 331 N. MAITLAND AVENUE, BUILDING C1, MAITLAND, FL, 32751 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT CORR/NC | 2018-08-24 | PREMIER PHYSICIANS ORLANDO, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-20 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-08-31 |
| ANNUAL REPORT | 2019-04-29 |
| CORLCSTCNC | 2018-08-24 |
| Florida Limited Liability | 2018-08-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
