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PREMIERCARDIA, PLLC - Florida Company Profile

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Company Details

Entity Name: PREMIERCARDIA, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Jan 2021 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 05 Oct 2023 (2 years ago)
Document Number: L21000039994
FEI/EIN Number 35-2704890
Address: 215 HIGHWAY 17 S, EAST PALATKA, FL, 32131
Mail Address: 215 HIGHWAY 17 S, EAST PALATKA, FL, 32131
ZIP code: 32131
City: East Palatka
County: Putnam
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
IBRAHIM MORHAF DR. Authorized Member 5150 BELFORT RD BLDG 400, JACKSONVILLE, FL, 32256
FASULO STEPHANIE Agent 5150 BELFORT RD BLDG 400, JACKSONVILLE, FL, 32256

National Provider Identifier

NPI Number:
1265015416
Certification Date:
2024-05-24

Authorized Person:

Name:
MORHAF IBRAHIM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RC0001X - Clinical Cardiac Electrophysiology Physician
Is Primary:
Yes

Contacts:

Fax:
9045804740

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-10-05 - -
REGISTERED AGENT NAME CHANGED 2023-10-05 FASULO, STEPHANIE -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -

Documents

Name Date
ANNUAL REPORT 2025-02-07
ANNUAL REPORT 2024-03-14
REINSTATEMENT 2023-10-05
ANNUAL REPORT 2022-04-27
Florida Limited Liability 2021-01-20

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Date of last update: 02 Jul 2025

Sources: Florida Department of State