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PHYSICIAN PARTNERS ACO 1, LLC

Company Details

Entity Name: PHYSICIAN PARTNERS ACO 1, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 18 May 2022 (3 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 26 Jul 2023 (a year ago)
Document Number: L22000233158
FEI/EIN Number 88-2576112
Address: 601 S HARBOUR ISLAND BLVD, SUITE 200, TAMPA, FL 33602
Mail Address: 601 S HARBOUR ISLAND BLVD, SUITE 200, TAMPA, FL 33602
ZIP code: 33602
County: Hillsborough
Place of Formation: FLORIDA

Agent

Name Role
C T CORPORATION SYSTEM Agent

Vice President

Name Role Address
Polen, Michael Vice President 601 S HARBOUR ISLAND BLVD, SUITE 200 TAMPA, FL 33602
Jankovic, Goran Vice President 601 S HARBOUR ISLAND BLVD, SUITE 200 TAMPA, FL 33602
Haber, Michael Vice President 601 S HARBOUR ISLAND BLVD, SUITE 200 TAMPA, FL 33602
Ferry, Chris Vice President 601 S HARBOUR ISLAND BLVD, SUITE 200 TAMPA, FL 33602

Treasurer

Name Role Address
Jankovic, Goran Treasurer 601 S HARBOUR ISLAND BLVD, SUITE 200 TAMPA, FL 33602

Chief Financial Officer

Name Role Address
Jankovic, Goran Chief Financial Officer 601 S HARBOUR ISLAND BLVD, SUITE 200 TAMPA, FL 33602

Secretary

Name Role Address
Haber, Michael Secretary 601 S HARBOUR ISLAND BLVD, SUITE 200 TAMPA, FL 33602

General Counsel

Name Role Address
Haber, Michael General Counsel 601 S HARBOUR ISLAND BLVD, SUITE 200 TAMPA, FL 33602

President and CEO

Name Role Address
Karyeva, Inna President and CEO 601 S HARBOUR ISLAND BLVD, SUITE 200 TAMPA, FL 33602

Compliance Officer

Name Role Address
Moorthy, Ram Compliance Officer 601 S HARBOUR ISLAND BLVD, SUITE 200 TAMPA, FL 33602

Medical Director

Name Role Address
Haas, Eric Medical Director 601 S HARBOUR ISLAND BLVD, SUITE 200 TAMPA, FL 33602

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000084805 VOTION ACO 4, LLC ACTIVE 2023-07-19 2028-12-31 No data 601 S HARBOUR ISLAND BLVD. SUITE 200, TAMPA, FL, 33602

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2023-07-26 No data No data
REGISTERED AGENT NAME CHANGED 2023-07-26 C T CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2023-07-26 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 No data

Documents

Name Date
ANNUAL REPORT 2024-02-08
CORLCRACHG 2023-07-26
ANNUAL REPORT 2023-03-23
Florida Limited Liability 2022-05-18

Date of last update: 12 Jan 2025

Sources: Florida Department of State