| Entity Name: | PHYSICIAN PARTNERS ASSOCIATED LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Dec 2019 (5 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L19000306501 |
| FEI/EIN Number | 84-4273525 |
| Address: | 4704 N. ARMENIA AVE., TAMPA, FL, 33603 |
| Mail Address: | 4704 N. ARMENIA AVE., TAMPA, FL, 33603 |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649807553 | 2020-03-23 | 2020-03-23 | 4704 N ARMENIA AVE, TAMPA, FL, 336032619, US | 4704 N ARMENIA AVE, TAMPA, FL, 336032619, US | |||||||||||||||||||||||
|
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| Phone | +1 813-948-2107 |
| Fax | 8139482790 |
Authorized person
| Name | LUIS LOGRONO |
| Role | PRESIDENT |
| Phone | 8139482107 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LOGRONO LUIS A | Agent | 4704 N. ARMENIA AVE., TAMPA, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| LOGRONO LUIS A | Manager | 4704 N. ARMENIA AVE., TAMPA, FL, 33603 |
| Nomikos Jasmina | Manager | 381 Waterfront Circle W, Tarpon Springs, FL, 34688 |
| Name | Role | Address |
|---|---|---|
| LOGRONO LUIS A | Director | 4704 N. ARMENIA AVE., TAMPA, FL, 33603 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000030047 | ADVANCE RELIEF PHYSICIANS GROUP | ACTIVE | 2020-03-09 | 2025-12-31 | No data | 4704 N. ARMENIA AVE., TAMPA, FL, 33603 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2020-04-11 |
| ANNUAL REPORT | 2020-03-23 |
| Florida Limited Liability | 2019-12-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
