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PREMIUM PLUS HEALTH LLC

Company Details

Entity Name: PREMIUM PLUS HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Feb 2022 (3 years ago)
Document Number: L22000095736
FEI/EIN Number 88-1245086
Address: 7950 nw 53rd street, doral, FL, 33166, US
Mail Address: 15476 NW 77 COURT, # 149, MIAMI LAKES, FL, 33016, US
ZIP code: 33166
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740916824 2022-07-29 2022-07-29 15476 NW 77TH CT # 149, MIAMI LAKES, FL, 330165823, US 7950 NW 53RD STREET, SUITE 337, MIAMI, FL, 33166, US

Contacts

Phone +1 239-544-4442
Fax 2395444449

Authorized person

Name MR. CHRISTIAN O PEREZ
Role PRESIDENT
Phone 2395444442

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role Address
PEREZ CHRISTIAN Agent 15476 NW 77 COURT, MIAMI LAKES, FL, 33016

Authorized Member

Name Role Address
PEREZ CHRISTIAN Authorized Member 15476 NW 77 CT # 149, MIAMI LAKES, FL, 33016

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-07-27 7950 nw 53rd street, suite 337, doral, FL 33166 No data

Documents

Name Date
ANNUAL REPORT 2024-01-09
ANNUAL REPORT 2023-04-11
Florida Limited Liability 2022-02-22

Date of last update: 02 Feb 2025

Sources: Florida Department of State