| Entity Name: | EMERGENCY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Aug 2007 (17 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 13 Sep 2022 (2 years ago) |
| Document Number: | L07000086456 |
| FEI/EIN Number | 261105333 |
| Address: | 261 Magneta Loop, Auburndale, FL, 33823, US |
| Mail Address: | 261 Magneta Loop, Auburndale, FL, 33823, US |
| ZIP code: | 33823 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336498344 | 2012-09-05 | 2013-04-11 | 2901 PLANTATION RD, WINTER HAVEN, FL, 338841233, US | 141 AVENUE C SW, SUITE 160, WINTER HAVEN, FL, 338803258, US | |||||||||||||||||||||||||
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| Phone | +1 407-791-1543 |
| Phone | +1 863-268-8259 |
Authorized person
| Name | DOUGLAS J RE |
| Role | MANAGING MEMBER |
| Phone | 4077911543 |
Taxonomy
| Taxonomy Code | 363A00000X - Physician Assistant |
| License Number | 9103254 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | Q44344 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KOLTUN JEFFREY M | Agent | 150 Spartan Drive, MAITLAND, FL, 32751 |
| Name | Role | Address |
|---|---|---|
| RE DOUGLAS J | Managing Member | 261 Magneta Loop, Auburndale, FL, 33823 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000074322 | CENTRAL FLORIDA HEALTH SERVICES | EXPIRED | 2017-07-11 | 2022-12-31 | No data | 261 MAGNETA LOOP, AUBURNDALE, FL, 33823 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-09-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-09-13 | KOLTUN, JEFFREY M | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-06 | 150 Spartan Drive, SUITE 100, MAITLAND, FL 32751 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-23 | 261 Magneta Loop, Auburndale, FL 33823 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-23 | 261 Magneta Loop, Auburndale, FL 33823 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-01-30 |
| REINSTATEMENT | 2022-09-13 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-03-23 |
| ANNUAL REPORT | 2016-02-02 |
| ANNUAL REPORT | 2015-01-19 |
| ANNUAL REPORT | 2014-03-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
