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PREMIER MEDICAL CENTER OF INVERRARY, INC

Company Details

Entity Name: PREMIER MEDICAL CENTER OF INVERRARY, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 21 Apr 2011 (14 years ago)
Date of dissolution: 28 Sep 2012 (12 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (12 years ago)
Document Number: P11000038778
Address: 4522 INVERRARY BLVD., LAUDERHILL, FL, 33319, US
Mail Address: 4522 INVERRARY BLVD., LAUDERHILL, FL, 33319, US
ZIP code: 33319
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851672687 2011-09-07 2011-09-07 9470 SW 49TH PL, COOPER CITY, FL, 333283407, US 4522 INVERRARY BLVD, LAUDERHILL, FL, 333194104, US

Contacts

Phone +1 954-903-8142
Phone +1 800-406-7624
Fax 8667508103

Authorized person

Name MRS. ANDREA ANN LAMKIN
Role OWNER
Phone 9549038142

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
LAMKIN ANDREA A Agent 4522 INVERRARY BLVD., LAUDERHILL, FL, 33319

President

Name Role Address
LAMKIN ANDREA A President 4522 INVERRARY BLVD, LAUDERHILL, FL, 33319

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data

Documents

Name Date
Domestic Profit 2011-04-21

Date of last update: 03 Feb 2025

Sources: Florida Department of State