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PREMIER MEDICAL ASSOCIATES OF FLORIDA, LLC - Florida Company Profile

Company Details

Entity Name: PREMIER MEDICAL ASSOCIATES OF FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 10 Nov 2020 (4 years ago)
Document Number: M20000010183
FEI/EIN Number 85-3949537

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 219 N. 2ND STREET, SUTIE 401, MINNEAPOLIS, MN, 55401, US
Mail Address: 219 N. 2ND STREET, SUTIE 401, MINNEAPOLIS, MN, 55401, US
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366046179 2020-11-23 2022-11-16 1580 SANTA BARBARA BLVD, THE VILLAGES, FL, 321596827, US 1580 SANTA BARBARA BLVD, THE VILLAGES, FL, 321596827, US

Contacts

Phone +1 352-259-2159

Authorized person

Name MS. SEEMA KHANNA
Role AUTHORISED OFFICIAL
Phone 3522592159

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes
Taxonomy Code 247ZC0005X - Clinical Laboratory Director (Non-physician)
Is Primary No
Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary No

Key Officers & Management

Name Role Address
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324
KHANNA DINESH Manager 219 N. 2ND STREET, MINNEAPOLIS, MN, 55401
Khanna Seema Manager 219 N. 2ND STREET, MINNEAPOLIS, MN, 55401
Srivastava Sam Manager 219 N. 2ND STREET, MINNEAPOLIS, MN, 55401
North Megan Manager 219 N. 2ND STREET, MINNEAPOLIS, MN, 55401
Craig Jeff Manager 219 N. 2ND STREET, MINNEAPOLIS, MN, 55401

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000009175 PIONEER CLINICAL LABS ACTIVE 2022-01-25 2027-12-31 - 1580 SANTA BARBARA BLVD., LADY LAKE, FL, 32159
G22000009947 PREMIER DERMATOLOGY INSTITUTE ACTIVE 2022-01-25 2027-12-31 - 1580 SANTA BARBARA BLVD., LADY LAKE, FL, 32159
G21000110804 PIONEER CLINICAL LABS ACTIVE 2021-08-26 2026-12-31 - 11049 BRIDGE HOUSE RD, WINDERMERE, FL, 34786
G21000064460 PAIN RELIEF INSTITUTE OF AMERICA ACTIVE 2021-05-11 2026-12-31 - 1580 SANTA BARBARA BLVD., THE VILLAGES, FL, 32159

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-15 219 N. 2ND STREET, SUTIE 401, MINNEAPOLIS, MN 55401 -
CHANGE OF MAILING ADDRESS 2024-04-15 219 N. 2ND STREET, SUTIE 401, MINNEAPOLIS, MN 55401 -

Documents

Name Date
ANNUAL REPORT 2024-04-15
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-08-30
Foreign Limited 2020-11-10

Date of last update: 01 Mar 2025

Sources: Florida Department of State