PREMIUM HEALTH MANAGEMENT COMPANY, L.C.

Florida Limited Liability Company

Filing Information

• Document Number: L95000000959
• FEI/EIN Number: 65-0634800
• Date Filed: 12/11/1995
• State: FL
• Status: INACTIVE
• Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
• Event Date Filed: 10/14/1999
• Event Effective Date: NONE

Principal Address

13691 DEERING BAY DR.
CORAL GABLES, FL 33158

Changed: 01/05/1999

Mailing Address

P.O. BOX 43-1860
MIAMI, FL 33243-1860

Changed: 01/05/1999

Registered Agent Name & Address

SUSSMANE, JEFFREY M.D.

3100 S.W. 62ND AVE.
MIAMI, FL 33155

Authorized Person(s) Detail

Name & Address

Title MGR

SUSSMANE, JEFFREY M.D.

3100 S.W. 62ND AVE.
MIAMI, FL 33155

Title MGM

TIROTTA, CHRISTOPHER M.D.

3100 SW 62ND AVENUE
MIAMI, FL 33155

Title MGM

RIVAS-CHACON, RAFAEL

7201 SW 82 AVENUE
MIAMI, FL 33143

Title MGM

HOWARD, CLEVE M.D.

3200 SW 60 CT., #103
MIAMI, FL 33155

Title MGM

REVES-GARCIA, JESSIE M.D.

3200 SW 60 CT., #204
MIAMI, FL 33155

Title MEM

HERTZBERG, BETTI M.D.

7700 RED ROAD
S. MIAMI, FL 33143

Annual Reports

Report Year	Filed Date
1996	09/26/1996
1997	05/02/1997
1999	01/05/1999

Document Images

01/05/1999 -- REINSTATEMENT

05/02/1997 -- ANNUAL REPORT

12/11/1995 -- DOCUMENTS PRIOR TO 1997