| Entity Name: | PREMIER REHABILITATION SPECIALISTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Mar 2024 (10 months ago) |
| Document Number: | L24000149121 |
| Address: | 806 NW 16TH AVE, UNIT #287, GAINESVILLE, FL, 32601, US |
| Mail Address: | 7876 SW 80TH DR, GAINESVILLE, FL, 32608, US |
| ZIP code: | 32601 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730931890 | 2024-04-03 | 2024-04-03 | 806 NW 16TH AVE UNIT 287, GAINESVILLE, FL, 326014012, US | 806 NW 16TH AVE UNIT 287, GAINESVILLE, FL, 326014012, US | |||||||||||||
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| Phone | +1 267-712-9894 |
Authorized person
| Name | DR. SHAMMI PATEL |
| Role | DIRECTOR |
| Phone | 2677129894 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REPUBLIC REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| PATEL SHAMMI | Authorized Member | 806 NW 16TH AVE UNIT #287, GAINESVILLE, FL, 32601 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
