| Entity Name: | PREMIER HEALTH PLUS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Sep 2021 (3 years ago) |
| Document Number: | L21000424538 |
| FEI/EIN Number | 87-2868298 |
| Address: | 3691 TAMIAMI TRAIL, PUNTA GORDA, FL 33950 |
| Mail Address: | 3691 TAMIAMI TRAIL, PUNTA GORDA, FL 33950 |
| ZIP code: | 33950 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043972102 | 2021-10-06 | 2022-01-20 | 3691 TAMIAMI TRL, PUNTA GORDA, FL, 339507228, US | 3691 TAMIAMI TRL, PUNTA GORDA, FL, 339507228, US | |||||||||||||||||||
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| Phone | +1 941-347-8912 |
Authorized person
| Name | JERRY G HERNANADEZ |
| Role | OWNER |
| Phone | 9413478912 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | APRN9335689 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, JERRY | Agent | 3691 TAMIAMI TRAIL, PUNTA GORDA, FL 33950 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, JERRY | Authorized Member | 3691 TAMIAMI TRAIL, PUNTA GORDA, FL 33950 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-04-20 |
| Florida Limited Liability | 2021-09-27 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
