| Entity Name: | LONG MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
LONG MEDICAL, 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. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 14 Apr 2014 (11 years ago) |
| Date of dissolution: | 22 Feb 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Feb 2017 (8 years ago) |
| Document Number: | L14000060673 |
| FEI/EIN Number |
465386283
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 140 BONAVENTURE BLVD, APT. 202, WESTON, FL, 33326, US |
| Mail Address: | 140 BONAVENTURE BLVD, APT. 202, WESTON, FL, 33326, US |
| ZIP code: | 33326 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528472768 | 2014-06-16 | 2014-06-16 | 1172 FALLS BLVD, WESTON, FL, 333271722, US | 1172 FALLS BLVD, WESTON, FL, 333271722, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-702-9441 |
| Fax | 3057029442 |
Authorized person
| Name | TANZEELA KHAN |
| Role | MD |
| Phone | 3057029441 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME 116720 |
| State | ZZ |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009468100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LONG MATTHEW S | Manager | 6726 SW 152 PL, MIAMI, FL, 33193 |
| KHAN TANZEELA | Manager | 140 BONAVENTURE BLVD, APT 202, WESTON, FL, 33326 |
| RODRIGUEZ ANNABELLA | Agent | 140 BONAVENTURE BLVD, WESTON, FL, 33326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-02-22 | - | - |
| LC AMENDMENT | 2014-09-15 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-09-15 | 140 BONAVENTURE BLVD, APT. 202, WESTON, FL 33326 | - |
| CHANGE OF MAILING ADDRESS | 2014-09-15 | 140 BONAVENTURE BLVD, APT. 202, WESTON, FL 33326 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-09-15 | 140 BONAVENTURE BLVD, APT. 202, WESTON, FL 33326 | - |
| LC AMENDMENT | 2014-05-05 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-05-01 |
| ANNUAL REPORT | 2015-04-23 |
| LC Amendment | 2014-09-15 |
| LC Amendment | 2014-05-05 |
| Florida Limited Liability | 2014-04-14 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
