| Entity Name: | PBISM PREMIER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Jun 2015 (10 years ago) |
| Document Number: | P15000053500 |
| FEI/EIN Number | 47-4343872 |
| Address: | 3848 FAU BLVD. #105, BOCA RATON, FL, 33431, US |
| Mail Address: | 3848 FAU BLVD. #105, BOCA RATON, FL, 33431, US |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215310362 | 2015-07-08 | 2015-07-08 | 3848 FAU BLVD STE 105, BOCA RATON, FL, 334316437, US | 3848 FAU BLVD STE 105, BOCA RATON, FL, 334316437, US | |||||||||||||
|
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| Phone | +1 561-395-2920 |
Authorized person
| Name | BRAD VAN PELT |
| Role | PRESIDENT |
| Phone | 5613952920 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VAN PELT DANA M | Agent | 3848 FAU BLVD. #105, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| VAN PELT DANA | President | 3848 FAU BLVD. #105, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| VAN PELT BRAD | Vice President | 3848 FAU BLVD. #105, BOCA RATON, FL, 33431 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-04-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
