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 | |||||||||||||||||||||
|
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