| Entity Name: | PREMIERE GI, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Jun 2023 (2 years ago) |
| Document Number: | L23000287235 |
| FEI/EIN Number | 93-1899525 |
| Address: | 11505 Palmbrush Trail, LAKEWOOD RANCH, FL, 34202, US |
| Mail Address: | 11505 Palmbrush Trail, LAKEWOOD RANCH, FL, 34202, US |
| ZIP code: | 34202 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336829894 | 2023-07-20 | 2023-07-20 | 11505 PALMBRUSH TRL STE 200, LAKEWOOD RANCH, FL, 342022904, US | 11505 PALMBRUSH TRL STE 200, LAKEWOOD RANCH, FL, 342022904, US | |||||||||||||||
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| Phone | +1 941-334-9040 |
| Fax | 9413349030 |
Authorized person
| Name | ARUN KHAZANCHI |
| Role | MEMBER OWNER |
| Phone | 9413349040 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Khazanchi Arun M.D. | Agent | 11505 Palmbrush Trail, LAKEWOOD RANCH, FL, 34202 |
| Name | Role | Address |
|---|---|---|
| KHAZANCHI ARUN | Manager | 11505 Palmbrush Trail, LAKEWOOD RANCH, FL, 34202 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000143260 | PREMIERE CONCIERGE & WELLNESS | ACTIVE | 2023-11-27 | 2028-12-31 | No data | 11505 PALMBRUSH TRAIL, SUITE 205, LAKEWOOD RANCH, FL, 34202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-25 | 11505 Palmbrush Trail, Suite 200, LAKEWOOD RANCH, FL 34202 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-25 | 11505 Palmbrush Trail, Suite 200, LAKEWOOD RANCH, FL 34202 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-25 | Khazanchi, Arun, M.D. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-25 | 11505 Palmbrush Trail, Suite 200, LAKEWOOD RANCH, FL 34202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| Florida Limited Liability | 2023-06-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
