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
SUITE 104
PORT CHARLOTTE, FL 33952
Mailing Address
2525 HARBOR BLVD.
SUITE 104
PORT CHARLOTTE, FL 33952
SUITE 104
PORT CHARLOTTE, FL 33952
Registered Agent Name & Address
WALKER, GARY
Address Changed: 03/24/2017
401 E. JACKSON STREET
SUITE 3100
TAMPA, FL 33602
SUITE 3100
TAMPA, FL 33602
Address Changed: 03/24/2017
Authorized Person(s) Detail
Name & Address
Title MGR
BLACK, BRENT D, M.D.
Title MGR
VALENTE, MARGARET, M.D.
Title MGR
BLACK, BRENT D, M.D.
2525 HARBOR BLVD., SUITE 104
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
Title MGR
VALENTE, MARGARET, M.D.
2525 HARBOR BLVD., SUITE 104
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
Annual Reports
Report Year | Filed Date |
2015 | 01/13/2015 |
2016 | 01/25/2016 |
2017 | 03/24/2017 |
Document Images