| Entity Name: | PREMIUM PROVIDER SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PREMIUM PROVIDER SERVICES LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 25 Aug 2022 (3 years ago) |
| Document Number: | L22000371726 |
| FEI/EIN Number |
88-3909118
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 19035 NW 43RD COURT, MIAMI GARDENS, FL, 33055, US |
| Mail Address: | 19035 NW 43RD COURT, MIAMI GARDENS, FL, 33055, US |
| ZIP code: | 33055 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669165007 | 2023-05-31 | 2023-05-31 | 19035 NW 43RD CT, MIAMI GARDENS, FL, 330552644, US | 19035 NW 43RD CT, MIAMI GARDENS, FL, 330552644, US | |||||||||||||
|
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| Phone | +1 786-312-3834 |
Authorized person
| Name | ELISELLY RODRIGUEZ |
| Role | AMBR |
| Phone | 7863123834 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ELISELLY RODRIGUEZ | Agent | 19035 NW 43RD COURT, MIAMI GARDENS, FL, 33055 |
| ORLANDO VAZQUEZ | Authorized Member | 19035 NW 43RD COURT, MIAMI GARDENS, FL, 33055 |
| ELISELLY RODRIGUEZ | Authorized Member | 19035 NW 43RD COURT, MIAMI GARDENS, FL, 33055 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-18 |
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-02-16 |
| Florida Limited Liability | 2022-08-25 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
