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PREMIER REHABILITATION PLLC

Company Details

Entity Name: PREMIER REHABILITATION PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 18 Feb 2020 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 23 Oct 2023 (a year ago)
Document Number: L20000055600
FEI/EIN Number 84-4889992
Address: 5121 MICHIGAN AVENUE, SANFORD, FL 32771
Mail Address: 755 MONROE RD # 470738, LAKE MONROE, FL 32747--0738
ZIP code: 32771
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396379442 2020-02-27 2020-02-27 755 MONROE RD UNIT 470738, LAKE MONROE, FL, 327477525, US 5121 MICHIGAN AVE, SANFORD, FL, 327718574, US

Contacts

Phone +1 678-469-5003

Authorized person

Name STACEY MCMONAGLE
Role OWNER
Phone 6784695003

Taxonomy

Taxonomy Code 224Z00000X - Occupational Therapy Assistant
Is Primary No
Taxonomy Code 225100000X - Physical Therapist
Is Primary No
Taxonomy Code 225200000X - Physical Therapy Assistant
Is Primary No
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary Yes

Agent

Name Role Address
McMonagle, Blaize Agent 755 MONROE RD # 470738, LAKE MONROE, FL 32747--0738

Authorized Member

Name Role Address
MCMONAGLE, Stacey L Authorized Member 5121 MICHIGAN AVE, SANFORD, FL 32771

President

Name Role Address
MCMONAGLE, Stacey L President 5121 MICHIGAN AVE, SANFORD, FL 32771

Manager

Name Role Address
MCMONAGLE, Blaize Manager 5121 MICHIGAN AVENUE, SANFORD, FL 32771

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-10-23 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REGISTERED AGENT NAME CHANGED 2022-04-15 McMonagle, Blaize No data
CHANGE OF MAILING ADDRESS 2021-04-06 5121 MICHIGAN AVENUE, SANFORD, FL 32771 No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-06 755 MONROE RD # 470738, LAKE MONROE, FL 32747--0738 No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
REINSTATEMENT 2023-10-23
ANNUAL REPORT 2022-04-15
ANNUAL REPORT 2021-04-06
Florida Limited Liability 2020-02-18

Date of last update: 15 Feb 2025

Sources: Florida Department of State