| Entity Name: | PREMIER PHYSICIAN HOLDINGS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Dec 2021 (3 years ago) |
| Document Number: | L22000000144 |
| FEI/EIN Number | 87-4166825 |
| Address: | 425 W. Colonial Dr., Ste 303, Orlando, FL, 32804, US |
| Mail Address: | 425 W. Colonial Dr., Ste 303, Orlando, FL, 32804, US |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831838010 | 2022-06-03 | 2022-06-03 | 6900 TAVISTOCK LAKES BLVD STE 300, ORLANDO, FL, 328277592, US | 1037 S STATE ROAD 7 STE 113114, WELLINGTON, FL, 334146138, US | |||||||||||||||||
|
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| Phone | +1 321-332-6947 |
| Fax | 4072864515 |
| Phone | +1 561-798-3030 |
Authorized person
| Name | PENELOPE KOKKINIDES |
| Role | CHIEF ADMINISTRATIVE OFFICER |
| Phone | 2019692404 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Brown David | Secretary | 425 W. Colonial Dr., Orlando, FL, 32804 |
| Name | Role | Address |
|---|---|---|
| Moyer Carey Amy | Chief Operating Officer | 425 W. Colonial Dr., Orlando, FL, 32804 |
| Name | Role | Address |
|---|---|---|
| McBrien Andrew | President | 425 W. Colonial Dr., Orlando, FL, 32804 |
| Name | Role | Address |
|---|---|---|
| Ozcan Manuk | Chief Financial Officer | 425 W. Colonial Dr., Orlando, FL, 32804 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000030112 | PREMIER URGENT CARE | ACTIVE | 2022-03-09 | 2027-12-31 | No data | 425 W COLONIAL DR STE 303, ORLANDO, FL, 32804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-29 | 425 W. Colonial Dr., Ste 303, Orlando, FL 32804 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-29 | 425 W. Colonial Dr., Ste 303, Orlando, FL 32804 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-03 |
| AMENDED ANNUAL REPORT | 2024-10-29 |
| ANNUAL REPORT | 2024-04-25 |
| AMENDED ANNUAL REPORT | 2023-12-07 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-04-20 |
| Florida Limited Liability | 2021-12-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
