| Entity Name: | PREMIER MEDICAL PEDIATRICS CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Oct 2008 (16 years ago) |
| Document Number: | P08000097353 |
| FEI/EIN Number | 263630406 |
| Address: | 315 EAST ASH ST, PERRY, FL, 32347 |
| Mail Address: | 315 e ash st., PO Box 158, Perry, FL, 32347, US |
| ZIP code: | 32347 |
| County: | Taylor |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831342880 | 2008-11-03 | 2010-02-08 | PO BOX 719, PERRY, FL, 323480719, US | 315 E ASH ST, PERRY, FL, 323472029, US | |||||||||||||||||||||||
|
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| Phone | +1 850-584-3278 |
| Fax | 8505848171 |
| Phone | +1 850-838-2121 |
| Fax | 8508381842 |
Authorized person
| Name | MS. LAURIE SANTANA |
| Role | CFO |
| Phone | 8505843278 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PREMIER MEDICAL PEDIATRIC | Agent | 315 EAST ASH ST, PERRY, FL, 32347 |
| Name | Role | Address |
|---|---|---|
| SOFI ABDUL HDR | President | 2131 Golden Eagle Dr W, Tallahassee, FL, 323124038 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-07-11 | 315 EAST ASH ST, PERRY, FL 32347 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-07-11 | PREMIER MEDICAL PEDIATRIC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-07-11 | 315 EAST ASH ST, PERRY, FL 32347 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-07-03 | 315 EAST ASH ST, PERRY, FL 32347 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000008767 | ACTIVE | BER-L-1878-18 | SUPERIOR COURT OF NEW JERSEY | 2018-09-14 | 2026-01-12 | $250,763.90 | ASCENTIUM CAPITAL, LLC, 23970 HWY 59 NORTH, KINGWOOD TX 77339 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-07-11 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
