| Entity Name: | PRIMETIME MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 28 May 2020 (5 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L20000144983 |
| FEI/EIN Number | 85-1448502 |
| Address: | 1975 EAST SUNRISE BLVD, SUITE 501, SUNRISE, FL 33304 |
| Mail Address: | 1975 EAST SUNRISE BLVD, SUITE 501, SUNRISE, FL 33304 |
| ZIP code: | 33304 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568074078 | 2020-08-18 | 2020-08-18 | 1975 E SUNRISE BLVD STE 501, FORT LAUDERDALE, FL, 333041410, US | 1975 E SUNRISE BLVD STE 501, FORT LAUDERDALE, FL, 333041410, US | |||||||||||||||||||
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| Phone | +1 954-512-0522 |
Authorized person
| Name | MR. PELSHA DARIUS |
| Role | CEO |
| Phone | 9545120522 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DRIVERS LICENSE |
| Number | D620670872821 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PROPHETE, JARRY | Agent | 1975 EAST SUNRISE BLVD, SUITE 501, SUNRISE, FL 33304 |
| Name | Role | Address |
|---|---|---|
| PROPHETE, JARRY | Chief Executive Officer | 1975 EAST SUNRISE BLVD SUITE 501, SUNRISE, FL 33304 |
| DARIUS, PELSHA | Chief Executive Officer | 1975 EAST SUNRISE BLVD SUITE 501, SUNRISE, FL 33304 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-03-15 |
| Florida Limited Liability | 2020-05-28 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
