| Entity Name: | WHOLE HEALTH PREMIER MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Aug 2023 (a year 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 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386429652 | 2023-08-25 | 2024-05-02 | 6272 LAKE OSPREY DR, LAKEWOOD RANCH, FL, 342408425, US | 6272 LAKE OSPREY DR, LAKEWOOD RANCH, FL, 342408425, US | |||||||||||||||
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| Phone | +1 941-290-5400 |
| Fax | 9412892492 |
Authorized person
| Name | KIMBERLY BORSHEIM |
| Role | MANAGING PARTNER |
| Phone | 9412905400 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PORTER KINGA | Agent | 6272 LAKE OSPREY DR, LAKEWOOD RANCH, FL, 34240 |
| Name | Role | Address |
|---|---|---|
| PORTER KINGA | Authorized Member | 6272 LAKE OSPREY DR, LAKEWOOD RANCH, FL, 34240 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| Florida Limited Liability | 2023-08-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
