Entity Name: | NAPLES EMERGENCY PHYSICIANS, L.L.C. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 21 Dec 2000 (24 years ago) |
Document Number: | L00000015914 |
FEI/EIN Number | 651063572 |
Address: | 616 Royal Plaza Drive, FORT LAUDERDALE, FLORIDA, FL, 33301, US |
Mail Address: | 616 Royal Plaza Drive, FORT LAUDERDALE, FL, 33301, US |
ZIP code: | 33301 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1598748006 | 2005-11-29 | 2020-08-22 | PO BOX 848817, PEMBROKE PINES, FL, 330840817, US | 6101 PINE RIDGE RD, NAPLES, FL, 341193900, US | |||||||||||||||||||||||||||
|
Phone | +1 239-348-9303 |
Authorized person
Name | ROBERT E. WEBER |
Role | CHIEF |
Phone | 9548382371 |
Taxonomy
Taxonomy Code | 207P00000X - Emergency Medicine Physician |
Is Primary | No |
Taxonomy Code | 363A00000X - Physician Assistant |
Is Primary | No |
Taxonomy Code | 363L00000X - Nurse Practitioner |
Is Primary | No |
Other Provider Identifiers
Issuer | BC/BS |
Number | 45734 |
State | FL |
Name | Role | Address |
---|---|---|
WEBER ROBERT E | Agent | 616 Royal Plaza Drive, FLORIDA, FL, 33301 |
Name | Role | Address |
---|---|---|
WEBER ROBERT E | Managing Member | 616 Royal Plaza Drive, FLORIDA, FL, 33301 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC STMNT OF RA/RO CHG | 2018-05-29 | No data | No data |
LC STMNT OF RA/RO CHG | 2017-05-31 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State