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AMICUS MEDICAL CENTER LLC

Company Details

Entity Name: AMICUS MEDICAL CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Dec 2011 (13 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 12 Dec 2022 (2 years ago)
Document Number: L11000136880
FEI/EIN Number 45-4020797
Address: 500 West Main Street, Louisville, KY, 40202, US
Mail Address: 500 West Main Street, Louisville, KY, 40202, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215681291 2022-02-08 2022-02-08 1300 CONCORD TER STE 210, SUNRISE, FL, 333232899, US 1886 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 334421417, US

Contacts

Phone +1 954-505-5000
Phone +1 954-428-3500

Authorized person

Name HERIKA MARIE ECHEVARRIA
Role CREDENTIALING
Phone 9545055000

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role
C T CORPORATION SYSTEM Agent

Chief Financial Officer

Name Role Address
Diamond Susan M Chief Financial Officer 500 West Main Street, Louisville, KY, 40202

Seni

Name Role Address
Edwards Douglas A Seni 500 West Main Street, Louisville, KY, 40202

Director

Name Role Address
Feld Daniel K Director 500 West Main Street, Louisville, KY, 40202

Vice President

Name Role Address
Marcoux Jr. Robert M Vice President 500 West Main Street, Louisville, KY, 40202
Pabo Erika M Vice President 500 West Main Street, Louisville, KY, 40202

President

Name Role Address
Buckingham Renee J President 500 West Main Street, Louisville, KY, 40202

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000062699 AMICUS EYE CENTER EXPIRED 2019-05-29 2024-12-31 No data 1300 CONCORD TERRACE, SUITE 210, SUNRISE, FL, 33323
G11000122275 SOUTH FLORIDA MEDICAL CENTER EXPIRED 2011-12-15 2016-12-31 No data 4330 W BROWARD BLVD, STE F-G, PLANTATION, FL, 33317

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-11 500 West Main Street, Louisville, KY 40202 No data
CHANGE OF MAILING ADDRESS 2024-03-11 500 West Main Street, Louisville, KY 40202 No data
REINSTATEMENT 2022-12-12 No data No data
REGISTERED AGENT ADDRESS CHANGED 2022-12-12 1200 South Pine Island Road, Plantation, FL 33324 No data
REGISTERED AGENT NAME CHANGED 2022-12-12 C T Corporation System No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
LC AMENDMENT 2014-06-19 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-11
ANNUAL REPORT 2023-04-28
REINSTATEMENT 2022-12-12
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-04-30
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-04-10
ANNUAL REPORT 2017-04-21
ANNUAL REPORT 2016-04-05
ANNUAL REPORT 2015-04-02

Date of last update: 01 Feb 2025

Sources: Florida Department of State