| Entity Name: | EMERALD COAST MEMORY CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Jul 2010 (14 years ago) |
| Document Number: | L10000080004 |
| FEI/EIN Number | 273140541 |
| Address: | 755 GRAND BLVD, MIRAMAR BEACH, FL, 32550, US |
| Mail Address: | 755 GRAND BLVD, MIRAMAR BEACH, FL, 32550, US |
| ZIP code: | 32550 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962911651 | 2017-09-25 | 2017-09-25 | 755 GRAND BLVD STE 105B278, MIRAMAR BEACH, FL, 325501838, US | 755 GRAND BLVD STE 105B278, MIRAMAR BEACH, FL, 325501838, US | |||||||||||||||||
|
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| Phone | +1 850-737-1816 |
Authorized person
| Name | DR. FARID CHEKAOUI |
| Role | MGRM |
| Phone | 8507371816 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME86872 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHEKAOUI FARID | Agent | 755 GRAND BLVD, MIRAMAR BEACH, FL, 32550 |
| Name | Role | Address |
|---|---|---|
| FARID CHEKAOUI | Managing Member | 755 GRAND BLVD, MIRAMAR BEACH, FL, 32550 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-18 | 755 GRAND BLVD, STE 105B-278, MIRAMAR BEACH, FL 32550 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-09-21 | 755 GRAND BLVD, STE 105B-278, MIRAMAR BEACH, FL 32550 | No data |
| CHANGE OF MAILING ADDRESS | 2017-09-21 | 755 GRAND BLVD, STE 105B-278, MIRAMAR BEACH, FL 32550 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-01-25 | CHEKAOUI, FARID | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-10 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-05-10 |
| ANNUAL REPORT | 2019-01-27 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-22 |
| ANNUAL REPORT | 2016-01-23 |
| ANNUAL REPORT | 2015-02-21 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
