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LAKE WALES EMERGENCY PHYSICIANS, LLC - Florida Company Profile

Company Details

Entity Name: LAKE WALES EMERGENCY PHYSICIANS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

LAKE WALES EMERGENCY PHYSICIANS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 12 Jan 2012 (13 years ago)
Document Number: L12000006095
FEI/EIN Number 45-4250237

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 200 CORPORATE BLVD, LAFAYETTE, LA, 70508, US
Mail Address: 200 Corporate Blvd, Lafayette, LA, 70508, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
EDCARE MANAGEMENT, INC. Manager -
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324

National Provider Identifier

NPI Number:
1033480405
Certification Date:
2022-03-23

Authorized Person:

Name:
LISHA C FALK
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-03-07 200 CORPORATE BLVD, LAFAYETTE, LA 70508 -
CHANGE OF MAILING ADDRESS 2023-03-07 200 CORPORATE BLVD, LAFAYETTE, LA 70508 -

Documents

Name Date
ANNUAL REPORT 2024-04-08
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-03-17
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-02-07
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-03-22
ANNUAL REPORT 2016-04-05
ANNUAL REPORT 2015-04-23

Date of last update: 02 Jun 2025

Sources: Florida Department of State