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PREMIER PHYSICIANS OF SARASOTA, LLC

Company Details

Entity Name: PREMIER PHYSICIANS OF SARASOTA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 30 Mar 2021 (4 years ago)
Last Event: LC DISSOCIATION MEM
Event Date Filed: 16 Dec 2022 (2 years ago)
Document Number: L21000133476
FEI/EIN Number 86-2993701
Address: 1843 FLOYD ST, SARASOTA, FL 34239
Mail Address: 1843 FLOYD ST, SARASOTA, FL 34239
ZIP code: 34239
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659072999 2023-03-14 2023-03-14 1843 FLOYD ST, SARASOTA, FL, 342392937, US 1843 FLOYD ST, SARASOTA, FL, 342392937, US

Contacts

Phone +1 941-951-3920
Fax 9419513922

Authorized person

Name GREGORY J. FERREIRA
Role PARTNER
Phone 9419513920

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes
Taxonomy Code 207RP1001X - Pulmonary Disease Physician
Is Primary No
Taxonomy Code 207RS0012X - Sleep Medicine (Internal Medicine) Physician
Is Primary No

Other Provider Identifiers

Issuer NPI
Number 1598774390
Issuer FLORIDA BLUE PAYOR ID
Number 37767
Issuer FLORIDA BLUE PAYOR ID
Number 37854
Issuer NPI
Number 1427161066
Issuer NPI
Number 1790717908
Issuer NPI
Number 1174685499
Issuer FLORIDA BLUE PAYOR ID
Number 14885
Issuer FLORIDA BLUE PAYOR ID
Number 37912
Issuer AVAILITY CUSTOMER SENDER ID
Number 1209159
Issuer OLIVE
Number 87767

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER PHYSICIANS OF SARASOTA, LLC PROFIT SHARING PLAN AND TRUST 2023 862993701 2024-09-27 PREMIER PHYSICIANS OF SARASOTA, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9419513920
Plan sponsor’s address 1843 FLOYD ST., SARASOTA, FL, 34239
PREMIER PHYSICIANS OF SARASOTA, LLC CASH BALANCE PENSION PLAN AND TRUST 2023 862993701 2024-10-01 PREMIER PHYSICIANS OF SARASOTA, LLC 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2023-01-01
Business code 621111
Sponsor’s telephone number 9419513920
Plan sponsor’s address 1843 FLOYD ST., SARASOTA, FL, 34239
HAUTAMAKI & HORIUCHI, LLC CASH BALANCE PENSION PLAN AND TRUST 2022 862993701 2023-07-06 PREMIER PHYSICIANS OF SARASOTA, LLC 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9419513920
Plan sponsor’s address 1843 FLOYD ST., SARASOTA, FL, 34239
HAUTAMAKI & HORIUCHI, LLC CASH BALANCE PENSION PLAN AND TRUST 2022 862993701 2023-08-29 PREMIER PHYSICIANS OF SARASOTA, LLC 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9419513920
Plan sponsor’s address 1843 FLOYD ST., SARASOTA, FL, 34239
PREMIER PHYSICIANS OF SARASOTA, LLC PROFIT SHARING PLAN AND TRUST 2022 862993701 2023-06-30 PREMIER PHYSICIANS OF SARASOTA, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 9419513920
Plan sponsor’s address 1843 FLOYD STREET, SARASOTA, FL, 34239
HAUTAMAKI & HORIUCHI, LLC CASH BALANCE PENSION PLAN AND TRUST 2021 862993701 2022-10-26 PREMIER PHYSICIANS OF SARASOTA, LLC 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621111
Sponsor’s telephone number 9419513920
Plan sponsor’s address 1843 FLOYD ST., SARASOTA, FL, 34239

Agent

Name Role Address
Schwalm, Sharon Agent 1843 Floyd Street, Sarasota, FL 34239

Manager

Name Role Address
FERREIRA, GREGORY J Manager 1843 FLOYD ST, SARASOTA, FL 34239
Hoffberger, Darren S Manager 1843 FLOYD ST, SARASOTA, FL 34239

Events

Event Type Filed Date Value Description
LC DISSOCIATION MEM 2022-12-16 No data No data
REGISTERED AGENT NAME CHANGED 2022-02-08 Schwalm, Sharon No data
REGISTERED AGENT ADDRESS CHANGED 2022-02-08 1843 Floyd Street, Sarasota, FL 34239 No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-19
CORLCDSMEM 2022-12-16
AMENDED ANNUAL REPORT 2022-11-10
ANNUAL REPORT 2022-02-08
Florida Limited Liability 2021-03-30

Date of last update: 14 Jan 2025

Sources: Florida Department of State