| Entity Name: | PREMIUM MEDICAL CENTER GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 Jan 2021 (4 years ago) |
| Date of dissolution: | 23 Jun 2021 (4 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Jun 2021 (4 years ago) |
| Document Number: | L21000014339 |
| Address: | 8300 WEST FLAGLER STREET, SUITE 254 C-1, MIAMI, FL 33144 |
| Mail Address: | 8300 WEST FLAGLER STREET, SUITE 254 C-1, MIAMI, FL 33144 |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184214231 | 2021-01-22 | 2021-01-22 | 8300 W FLAGLER ST STE 254C-1, MIAMI, FL, 331446000, US | 8300 W FLAGLER ST STE 254C-1, MIAMI, FL, 331446000, US | |||||||||||||
|
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| Phone | +1 786-572-9606 |
Authorized person
| Name | MISS SILVANA PEREZ |
| Role | PHYSICAL THERAPY |
| Phone | 7865729606 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ, SILVANA | Agent | 8300 WEST FLAGLER STREET, SUITE 254 C-1, MIAMI, FL 33144 |
| Name | Role | Address |
|---|---|---|
| PEREZ, SILVANA | Authorized Member | 8300 WEST FLAGLER STREET, SUITE 254 C-1, MIAMI, FL 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2021-06-23 | No data | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2021-06-23 |
| Florida Limited Liability | 2021-01-19 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
