Entity Name: | PHYSICIAN SERVICES GROUP OF FLORIDA, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 28 Aug 2019 (5 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 20 Dec 2021 (3 years ago) |
Document Number: | L19000214800 |
FEI/EIN Number | 84-3784979 |
Address: | 8325 UNIVERSITY PKWY, SUITE A,, PENSACOLA, FL, 32514, US |
Mail Address: | 8325 UNIVERSITY PKWY, SUITE A,, PENSACOLA, FL, 32514, US |
ZIP code: | 32514 |
County: | Escambia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1235775396 | 2019-11-25 | 2021-12-30 | 8325 UNIVERSITY PKWY STE A, PENSACOLA, FL, 325144949, US | 8325 UNIVERSITY PKWY STE A, PENSACOLA, FL, 325144949, US | |||||||||||||||
|
Phone | +1 850-324-9633 |
Fax | 8504706460 |
Authorized person
Name | STAN HEALY |
Role | CEO |
Phone | 8643038650 |
Taxonomy
Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
Is Primary | Yes |
Name | Role |
---|---|
CORPORATION SERVICE COMPANY | Agent |
Name | Role | Address |
---|---|---|
HEALY STAN | Manager | 8325 UNIVERSITY PKWY, PENSACOLA, FL, 32514 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC AMENDMENT | 2021-12-20 | No data | No data |
CHANGE OF MAILING ADDRESS | 2021-12-20 | 8325 UNIVERSITY PKWY, SUITE A,, PENSACOLA, FL 32514 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2021-04-05 | 8325 UNIVERSITY PKWY, SUITE A,, PENSACOLA, FL 32514 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-19 |
ANNUAL REPORT | 2023-01-24 |
ANNUAL REPORT | 2022-03-02 |
LC Amendment | 2021-12-20 |
ANNUAL REPORT | 2021-04-05 |
ANNUAL REPORT | 2020-04-09 |
Florida Limited Liability | 2019-08-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State