| Entity Name: | PREMIER PHYSICIAN CONSULTING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Aug 2020 (5 years ago) |
| Document Number: | L20000237188 |
| FEI/EIN Number | 85-2366467 |
| Address: | 1270 Reed Canal Rd, Unit 6308, Port orange, 32129, UN |
| Mail Address: | 1898 S. CLYDE MORRIS BLVD, STE360, DAYTONA BEACH, FL, 32119, UN |
| ZIP code: | 32129 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902592207 | 2023-04-11 | 2023-04-11 | 1270 REED CANAL RD APT 6308, PORT ORANGE, FL, 321299188, US | 1270 REED CANAL RD APT 6308, PORT ORANGE, FL, 321299188, US | |||||||||||||
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| Phone | +1 386-341-8886 |
Authorized person
| Name | DR. DELICIA HAYNES |
| Role | PRESIDENT |
| Phone | 3863102052 |
Taxonomy
| Taxonomy Code | 202D00000X - Integrative Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAYNES DELICIA M | Agent | 1898 S. CLYDE MORRIS BLVD., DAYTONA BEACH, FL, 32119 |
| Name | Role | Address |
|---|---|---|
| HAYNES Delicia | President | 1898 S. Clyde Morris Blvd. Suite 360, Daytona Beach, FL, 32119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-27 | 1270 Reed Canal Rd, Unit 6308, Port orange 32129 UN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-05-01 |
| Florida Limited Liability | 2020-08-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
