| Entity Name: | FIDELITY PREMIER GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Jan 2021 (4 years ago) |
| Document Number: | P21000009819 |
| FEI/EIN Number | 32-0646472 |
| Address: | 11406 N Dale Mabry HWY, TAMPA, FL, 33618, US |
| Mail Address: | 11406 N Dale Mabry HWY, TAMPA, FL, 33618, US |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205562998 | 2022-07-26 | 2022-07-26 | 11406 N DALE MABRY HWY STE 105, TAMPA, FL, 336183879, US | 11406 N DALE MABRY HWY STE 105, TAMPA, FL, 336183879, US | |||||||||||||||
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| Phone | +1 813-438-4338 |
| Fax | 8134384968 |
Authorized person
| Name | MR. FREDDY DURAN |
| Role | AUTHORIZED OFFICIAL |
| Phone | 8134384338 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DURAN FREDDY | Agent | 11406 N Dale Mabry HWY, TAMPA, FL, 33618 |
| Name | Role | Address |
|---|---|---|
| DURAN FREDDY | President | 11406 N Dale Mabry HWY, TAMPA, FL, 33618 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000049547 | FIDELITY MEDICAL CLINIC | ACTIVE | 2022-04-19 | 2027-12-31 | No data | 2324 BARTOLO DRIVE, LAND O' LAKES, FL, 34639 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-31 | 11406 N Dale Mabry HWY, STE 105, TAMPA, FL 33618 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-24 | 11406 N Dale Mabry HWY, STE 105, TAMPA, FL 33618 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-24 | 11406 N Dale Mabry HWY, STE 105, TAMPA, FL 33618 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-01-26 |
| Domestic Profit | 2021-01-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
