| Entity Name: | PREMIER HEALTH GROUP OF FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jun 2024 (8 months ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 11 Jul 2024 (7 months ago) |
| Document Number: | L24000274333 |
| FEI/EIN Number | 993420514 |
| Address: | 7726 Winegard road 2nd Fl, Orlando, FL, 32809, US |
| Mail Address: | 7726 Winegard road 2nd Fl, Orlando, FL, 32809, US |
| ZIP code: | 32809 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609412147 | 2019-11-19 | 2024-11-04 | 7726 WINEGARD RD, 2ND FLOOR SUITE 34, ORLANDO, FL, 328097147, US | 7726 WINEGARD RD, 2ND FLOOR SUITE 34, ORLANDO, FL, 328097147, US | |||||||||||||||||||
|
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| Phone | +1 407-729-2050 |
| Fax | 4073431966 |
Authorized person
| Name | CHOISETTE DAMUS |
| Role | OWNER |
| Phone | 4079552324 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAMUS CHOISETTE | Agent | 7726 WINEGARD ROAD 2ND FL, ORLANDO, FL, 32809 |
| Name | Role | Address |
|---|---|---|
| DAMUS CHOISETTE | Manager | 7726 WINEGARD ROAD 2ND FL SUITE 33-34, ORLANDO, FL, 32809 |
| PIERRE-LOUIS MARC G | Manager | 7726 WINEGARD ROAD 2ND FL SUITE 33-34, ORLANDO, FL, 32809 |
| VARGHESE BIJU | Manager | 7726 WINEGARD ROAD 2ND FL SUITE 33-34, ORLANDO, FL, 32809 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-07-11 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-11 | 7726 WINEGARD ROAD 2ND FL, SUITE 33-34, ORLANDO, FL 32809 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-10 | 7726 Winegard road 2nd Fl, suite 33-34, Orlando, FL 32809 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-10 | 7726 Winegard road 2nd Fl, suite 33-34, Orlando, FL 32809 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-07-11 |
| Florida Limited Liability | 2024-06-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
