Detail by Officer/Registered Agent Name

Florida Limited Liability Company

PREMIERMD MSO, LLC

Filing Information
L12000057758 46-0766367 04/27/2012 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/23/2016 NONE
Principal Address
3465 GALT OCEAN DRIVE STE 203
FORT LAUDERDALE, FL 33308

Changed: 05/06/2014
Mailing Address
3465 GALT OCEAN DRIVE STE 203
FORT LAUDERDALE, FL 33308

Changed: 05/06/2014
Registered Agent Name & Address SILVERSTEIN, SCOTT, D.O.
3465 GALT OCEAN DRIVE STE 203
FORT LAUDERDALE, FL 33308

Name Changed: 04/24/2013

Address Changed: 05/06/2014
Authorized Person(s) Detail Name & Address

Title Managing Member

TOLEDANO, VICTOR, Dr.
3465 GALT OCEAN DRIVE
SUITE 101
FORT LAUDERDALE, FL 33308

Title Managing Member

MCKENZIE, WILFRED, Dr.
1625 SE THIRD AVENUE
SUITE 400
FORT LAUDERDALE, FL 33316

Title Managing Member

GRAFF, ALAN, Dr.
3061 E. COMMERCIAL BLVD.
FORT LAUDERDALE, FL 33308

Title Managing Member

SILVERSTEIN, SCOTT A, Dr.
729 E. ATLANTIC BLVD.
POMPANO BEACH, FL 33060

Title Managing Member

WONG, ANTONIO, Dr.
501 N.W. 179 AVENUE
PEMBROKE PINES, FL 33029

Title COO

FATER, DAVID H
3465 GALT OCEAN DRIVE STE 203
FORT LAUDERDALE, FL 33308

Annual Reports
Report YearFiled Date
2013 01/15/2013
2014 02/25/2014
2015 04/12/2015