| Entity Name: | PREMIER GROUP HEALTH CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 May 2021 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Feb 2024 (a year ago) |
| Document Number: | L21000205043 |
| FEI/EIN Number | 87-0863944 |
| Address: | 1398 W 80 ST, HIALEAH, FL 33014 |
| Mail Address: | 1398 W 80 TH ST, HIALEAH, FL 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093575821 | 2024-03-20 | 2024-03-20 | 1398 W 80TH ST, HIALEAH, FL, 330143452, US | 1398 W 80TH ST, HIALEAH, FL, 330143452, US | |||||||||||||
|
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| Phone | +1 786-351-4493 |
Authorized person
| Name | LAZARO HERNANDEZ |
| Role | OWNER |
| Phone | 7863514493 |
Taxonomy
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, LAZARO | Agent | 1398 W 80 TH ST, HIALEAH, FL 33014 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, LAZARO | Authorized Member | 1398 W 80 TH ST, HIALEAH, FL 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-07 | 1398 W 80 ST, HIALEAH, FL 33014 | No data |
| REINSTATEMENT | 2024-02-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-12-06 | HERNANDEZ, LAZARO | No data |
| REINSTATEMENT | 2022-12-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| LC AMENDMENT | 2021-08-02 | No data | No data |
| LC AMENDMENT | 2021-06-01 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-02-07 |
| REINSTATEMENT | 2022-12-06 |
| LC Amendment | 2021-08-02 |
| LC Amendment | 2021-06-01 |
| Florida Limited Liability | 2021-05-03 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
