| Entity Name: | PREMIERE CARE PROVIDERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Sep 2019 (5 years ago) |
| Date of dissolution: | 02 Feb 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 Feb 2024 (a year ago) |
| Document Number: | L19000233430 |
| FEI/EIN Number | 84-3047566 |
| Address: | 8550 NE 138TH LANE, LADY LAKE, FL, 32159, US |
| Mail Address: | 8550 NE 138TH LANE, LADY LAKE, FL, 32159, US |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225675895 | 2019-12-03 | 2019-12-03 | 8550 NE 138TH LN BLDG 800, LADY LAKE, FL, 321596816, US | 8550 NE 138TH LN BLDG 800, LADY LAKE, FL, 321596816, US | |||||||||||||||
|
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| Phone | +1 352-391-5299 |
| Fax | 8777866531 |
Authorized person
| Name | DEBORAH TOWNSEND |
| Role | OFFICE MANAGER |
| Phone | 3523915299 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AZIZULLAH ABU MD | Agent | 8550 NE 138TH LANE, LADY LAKE, FL, 32159 |
| Name | Role | Address |
|---|---|---|
| AZIZULLAH ABU MD | Manager | 8550 NE 138TH LANE BDLG 800, LADY LAKE, FL, 32159 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-02-02 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-14 | 8550 NE 138TH LANE, BLDG. 800, LADY LAKE, FL 32159 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-14 | 8550 NE 138TH LANE, BLDG. 800, LADY LAKE, FL 32159 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-14 | 8550 NE 138TH LANE, BLDG. 800, LADY LAKE, FL 32159 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-02-02 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-02-14 |
| ANNUAL REPORT | 2020-01-19 |
| Florida Limited Liability | 2019-09-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
