| Entity Name: | PREMIUM MEDICAL SERVICES GROUP, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Feb 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P15000011986 |
| Address: | 2423 SW 147 AVE., SUITE #375, MIAMI, FL, 33185 |
| Mail Address: | 2423 SW 147 AVE., SUITE #375, MIAMI, FL, 33185 |
| ZIP code: | 33185 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023409455 | 2015-02-06 | 2015-02-06 | 2423 SW 147TH AVE, SUITE # 375, MIAMI, FL, 331854082, US | 2423 SW 147TH AVE, SUITE # 375, MIAMI, FL, 331854082, US | |||||||||||||||||||
|
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| Phone | +1 786-529-6375 |
| Fax | 7865049671 |
Authorized person
| Name | SHAHAB HYDER |
| Role | MEDICAL DOCTOR |
| Phone | 7865296375 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | ME106914 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VALDEZ JORGE L | Agent | 2423 SW 147 AVE., SUITE #375, MIAMI, FL, 33185 |
| Name | Role | Address |
|---|---|---|
| VALDEZ JORGE L | President | 2423 SW 147 AVE., SUITE #375, MIAMI, FL, 33185 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2015-02-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
