| Entity Name: | PRECISION HEALTH MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 May 2024 (8 months ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 06 Aug 2024 (6 months ago) |
| Document Number: | L24000244350 |
| Address: | 1017 PROFESSIONAL PARK DRIVE, BRANDON, FL, 33511, US |
| Mail Address: | 1017 PROFESSIONAL PARK DRIVE, BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881424125 | 2024-08-02 | 2024-08-02 | 1017 PROFESSIONAL PARK DR, BRANDON, FL, 335114886, US | 1017 PROFESSIONAL PARK DR, BRANDON, FL, 335114886, US | |||||||||||||
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| Phone | +1 813-495-5554 |
Authorized person
| Name | ASHIK KIRIT SONI |
| Role | MANAGER |
| Phone | 8134955554 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KETRON BRANDON LESQ. | Agent | 1245 COURT STREET, CLEARWATER, FL, 33756 |
| Name | Role | Address |
|---|---|---|
| SONI ASHIK KMD | Manager | 1017 PROFESSIONAL PARK DRIVE, BRANDON, FL, 33511 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000075954 | PRECISION HEALTH MD | ACTIVE | 2024-06-20 | 2029-12-31 | No data | 1017-1019 PROFESSIONAL PARK DRIVE, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-08-06 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-06 | 1017 PROFESSIONAL PARK DRIVE, BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-06 | 1017 PROFESSIONAL PARK DRIVE, BRANDON, FL 33511 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-08-06 |
| Florida Limited Liability | 2024-05-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
