| Entity Name: | EB LAND INVESTMENT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Apr 2006 (19 years ago) |
| Document Number: | L06000038729 |
| FEI/EIN Number | 204703868 |
| Address: | 2331 N STATE ROAD 7, SUITE 220, LAUDERHILL, FL, 33313, US |
| Mail Address: | 3200 N Ocean Blv, Fort Lauderdale, FL, 33308, US |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437467867 | 2010-09-20 | 2013-03-14 | 2331 N STATE ROAD 7, 206, LAUDERDALE LAKES, FL, 333133748, US | 2331 NORTH STATE RD 7, 206, LAUDERDALE LAKES, FL, 333133748, US | |||||||||||||||||||||||||
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| Phone | +1 954-677-0393 |
| Fax | 8668624675 |
Authorized person
| Name | DR. ERIC BELIZAIRE |
| Role | PROVIDER |
| Phone | 9546770393 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | ME88781 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 2768194 00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BELIZAIRE ERIC | Agent | 2331 N STATE ROAD 7, LAUDERHILL, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| BELIZAIRE Mina | Managing Member | 2331 N STATE ROAD 7, LAUDERHILL, FL, 33313 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G06152900055 | HEALTH-PLUS SUNRISE MEDICAL OFFICE | ACTIVE | 2006-05-31 | 2026-12-31 | No data | 2331 NORTH STATE ROAD 7,, SUITE 206, LAUDERHILL, FL, 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-11 | 2331 N STATE ROAD 7, SUITE 220, 220, LAUDERHILL, FL 33313 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-11 | 2331 N STATE ROAD 7, SUITE 220, 220, LAUDERHILL, FL 33313 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-05 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-08 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-01-10 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6125137402 | 2020-05-13 | 0455 | PPP | 2331 N STATE ROAD 7 STE 206, LAUDERDALE LAKES, FL, 33313-3772 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Feb 2025
Sources: Florida Department of State
