Detail by Entity Name

Florida Limited Liability Company

PREMIER SUPERVISING PHYSICIANS, LLC

Filing Information
L13000175577 46-4355072 12/20/2013 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/28/2018 NONE
Principal Address
2525 HARBOR BLVD.
SUITE 104
PORT CHARLOTTE, FL 33952
Mailing Address
2525 HARBOR BLVD.
SUITE 104
PORT CHARLOTTE, FL 33952
Registered Agent Name & Address WALKER, GARY
401 E. JACKSON STREET
SUITE 3100
TAMPA, FL 33602

Address Changed: 03/24/2017
Authorized Person(s) Detail Name & Address

Title MGR

BLACK, BRENT D, M.D.
2525 HARBOR BLVD., SUITE 104
PORT CHARLOTTE, FL 33952

Title MGR

VALENTE, MARGARET, M.D.
2525 HARBOR BLVD., SUITE 104
PORT CHARLOTTE, FL 33952

Annual Reports
Report YearFiled Date
2015 01/13/2015
2016 01/25/2016
2017 03/24/2017