| 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 |
| 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 | |||||||||||||||||||||
|
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| 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 |
| 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 |
| 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 |
| 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 | - |
| 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
