| Entity Name: | PREMIER MOBILE HEALTH SERVICES CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 17 Sep 2018 (6 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 18 Feb 2020 (5 years ago) |
| Document Number: | N18000010040 |
| FEI/EIN Number | 82-5372657 |
| Address: | 10676 COLONIAL BLVD, FORt Myers, FL, 33913, US |
| Mail Address: | 10676 Colonial Blvd, Suite 20, Fort Myers, FL, 33913, US |
| ZIP code: | 33913 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639661937 | 2018-06-01 | 2024-08-13 | 10676 COLONIAL BLVD STE 20, FORT MYERS, FL, 339138715, US | 10676 COLONIAL BLVD STE 20, FORT MYERS, FL, 339138715, US | |||||||||||||||||||||||||||
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| Phone | +1 239-222-1829 |
| Fax | 2392943637 |
| Fax | 2394434516 |
Authorized person
| Name | MRS. NADINE-ANN ORINTHEA SINGH |
| Role | OWNER/PRESIDENT |
| Phone | 2392221829 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP9276797 |
| State | FL |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PREMIER MOBILE HEALTH SERVICES CORPORATION | 2023 | 825372657 | 2024-08-30 | PREMIER MOBILE HEALTH SERVICES | 6 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-30 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SINGH NADINE O | Agent | 10676 Colonial Blvd, Fort Myers, FL, 33913 |
| Name | Role | Address |
|---|---|---|
| Delgado Roy | Director | 313 SE 19 Lane, Cape Coral, FL, 33990 |
| Krieger Karen | Director | 2103 NE Van Loon Terrace, Cape Coral, FL, 33909 |
| Name | Role | Address |
|---|---|---|
| SINGH NADINE O | Chief Executive Officer | 11654 KATI FALLS LANE, FORT MYERS, FL, 33913 |
| Name | Role | Address |
|---|---|---|
| Magara Emmanuel | Vice President | 8490 Summer Ave, Fort Myers, FL, 33908 |
| Name | Role | Address |
|---|---|---|
| Anderson Kevin | President | 2200 Second Street, Fort Myers, FL, 33901 |
| Name | Role | Address |
|---|---|---|
| Spears Diane | Treasurer | 2708 Henderson Ave, Fort Myers, FL, 33916 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-25 | 10676 COLONIAL BLVD, UNIT #20, FORt Myers, FL 33913 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-25 | 10676 Colonial Blvd, Suite 20, Fort Myers, FL 33913 | No data |
| AMENDMENT | 2020-02-18 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-18 | 10676 COLONIAL BLVD, UNIT #20, FORt Myers, FL 33913 | No data |
| AMENDMENT | 2018-10-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-03-08 |
| AMENDED ANNUAL REPORT | 2022-06-22 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-03-15 |
| AMENDED ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2020-02-18 |
| Amendment | 2020-02-18 |
| ANNUAL REPORT | 2019-02-11 |
| Amendment | 2018-10-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
