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WHOLE HEALTH PREMIER MEDICAL GROUP LLC - Florida Company Profile

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Company Details

Entity Name: WHOLE HEALTH PREMIER MEDICAL GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Aug 2023 (2 years ago)
Document Number: L23000406144
FEI/EIN Number 93-3095865
Address: 6272 LAKE OSPREY DR, LAKEWOOD RANCH, FL, 34240
Mail Address: 6272 LAKE OSPREY DR, LAKEWOOD RANCH, FL, 34240
ZIP code: 34240
City: Sarasota
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Borsheim Kimberly Manager 6272 LAKE OSPREY DR, LAKEWOOD RANCH, FL, 34240
PORTER KINGA Authorized Member 6272 LAKE OSPREY DR, LAKEWOOD RANCH, FL, 34240
PORTER KINGA Agent 6272 LAKE OSPREY DR, LAKEWOOD RANCH, FL, 34240

National Provider Identifier

NPI Number:
1386429652
Certification Date:
2024-05-02

Authorized Person:

Name:
KIMBERLY BORSHEIM
Role:
MANAGING PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9412892492

Documents

Name Date
ANNUAL REPORT 2024-01-29
Florida Limited Liability 2023-08-29

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Date of last update: 02 Aug 2025

Sources: Florida Department of State