| Entity Name: | QUANTUM INPATIENT MEDICAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Mar 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 20 Jul 2020 (5 years ago) |
| Document Number: | M20000002901 |
| FEI/EIN Number | 844188025 |
| Address: | 1580 SANTA BARBARA BLVD., LADY LAKE, FL, 32159, US |
| Mail Address: | 1580 SANTA BARBARA BLVD., LADY LAKE, FL, 32159, US |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942840236 | 2020-01-14 | 2020-10-16 | 1580 SANTA BARBARA BLVD, THE VILLAGES, FL, 321596827, US | 1580 SANTA BARBARA BLVD, THE VILLAGES, FL, 321596827, US | |||||||||||||||||||
|
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| Phone | +1 352-259-2159 |
Authorized person
| Name | SEEMA KHANNA |
| Role | AUTHORISED OFFICIAL |
| Phone | 3522592159 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 19428440236 |
| State | FL |
| Name | Role |
|---|---|
| PREMIER LAW GROUP, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| KHANNA ROHAN | Member | 1580 SANTA BARBARA BLVD., LADY LAKE, FL, 32159 |
| KHANNA TRISHA | Member | 1580 SANTA BARBARA BLVD., LADY LAKE, FL, 32159 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-05-01 | PREMIER LAW GROUP, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-01 | 410 W. GULF ATLANTIC HWY, WILDWOOD, FL 34785 | No data |
| LC AMENDMENT | 2020-07-20 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-21 |
| LC Amendment | 2020-07-20 |
| Foreign Limited | 2020-03-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
