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PREMIERE MEDICAL GROUP, P.A. - Florida Company Profile

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Company Details

Entity Name: PREMIERE MEDICAL GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Jan 2003 (23 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 17 Sep 2003 (22 years ago)
Document Number: P03000008085
FEI/EIN Number 161650719
Address: 2107 DAIRY ROAD, MELBOURNE, FL, 32904
Mail Address: 4276 Serendipity Lane, MELBOURNE, FL, 32904, US
ZIP code: 32904
City: Melbourne
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LORENTE MIGUEL Manager 4276 Serendipity Lane, MELBOURNE, FL, 32904
LORENTE MIGUEL Director 4276 Serendipity Lane, MELBOURNE, FL, 32904
HAREL CHRISTIANE V Officer 4276 Serendipity Lane, MELBOURNE, FL, 32904
Boehm Jackie CPA Agent 2107 DAIRY ROAD, MELBOURNE, FL, 32904

National Provider Identifier

NPI Number:
1285813147

Authorized Person:

Name:
DR. MIGUEL L LORENTE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
282N00000X - General Acute Care Hospital
Is Primary:
Yes

Contacts:

Fax:
3219527224
Fax:
3219568225

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-03-02 Boehm, Jackie, CPA -
REGISTERED AGENT ADDRESS CHANGED 2016-02-06 2107 DAIRY ROAD, MELBOURNE, FL 32904 -
CHANGE OF PRINCIPAL ADDRESS 2010-01-06 2107 DAIRY ROAD, MELBOURNE, FL 32904 -
AMENDMENT AND NAME CHANGE 2003-09-17 PREMIERE MEDICAL GROUP, P.A. -

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-02-05
ANNUAL REPORT 2021-02-09
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-03-02
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-30
ANNUAL REPORT 2016-02-06
ANNUAL REPORT 2015-01-11

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Date of last update: 02 Aug 2025

Sources: Florida Department of State