| Entity Name: | PTG MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Jun 2022 (3 years ago) |
| Document Number: | L22000263042 |
| FEI/EIN Number | 88-2785660 |
| Address: | 1260 NE 8th street, CAPE CORAL, FL, 33909, US |
| Mail Address: | 1260 NE 8th street, CAPE CORAL, FL, 33909, US |
| ZIP code: | 33909 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043931439 | 2022-09-06 | 2023-10-02 | 1260 NE 8TH ST STE 109, CAPE CORAL, FL, 339093169, US | 1260 NE 8TH STREET, UNIT 109, CAPE CORAL, FL, 33909, US | |||||||||||||||||||||||
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| Phone | +1 239-573-7988 |
| Fax | 2395737898 |
| Phone | +1 239-579-7988 |
| Fax | 2395797898 |
Authorized person
| Name | PATRICK KING |
| Role | OWNER |
| Phone | 2395737988 |
Taxonomy
| Taxonomy Code | 207PE0005X - Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| King Patrick Dr. | Agent | 1260 NE 8th street #110, CAPE CORAL, FL, 33909 |
| Name | Role | Address |
|---|---|---|
| KING PATRICK T | Manager | 13524 TRIPOLI CT, ESTERO, FL, 33928 |
| SONN GREGORY R | Manager | 130 PLACID DR, FORT MYERS, FL, 33919 |
| GREEN TUCKER | Manager | 9221 CALLE ARRAGON UNIT 105, FORT MYERS, FL, 33908 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000050638 | PREMIER MEDICAL GROUP | ACTIVE | 2023-04-21 | 2028-12-31 | No data | 1260 NE 8TH STREET #110, CAPE CORAL, FL, 33909 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-01-03 | King, Patrick , Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-03 | 1260 NE 8th street #110, CAPE CORAL, FL 33909 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-13 | 1260 NE 8th street, #110, CAPE CORAL, FL 33909 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-13 | 1260 NE 8th street, #110, CAPE CORAL, FL 33909 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-03 |
| AMENDED ANNUAL REPORT | 2023-05-24 |
| ANNUAL REPORT | 2023-02-06 |
| Florida Limited Liability | 2022-06-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
