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LONG MEDICAL, LLC - Florida Company Profile

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Company Details

Entity Name: LONG MEDICAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 14 Apr 2014 (11 years ago)
Date of dissolution: 22 Feb 2017 (9 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 22 Feb 2017 (9 years ago)
Document Number: L14000060673
FEI/EIN Number 465386283
Address: 140 BONAVENTURE BLVD, APT. 202, WESTON, FL, 33326, US
Mail Address: 140 BONAVENTURE BLVD, APT. 202, WESTON, FL, 33326, US
ZIP code: 33326
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

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

National Provider Identifier

NPI Number:
1528472768

Authorized Person:

Name:
TANZEELA KHAN
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3057029442

Events

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 - -

Documents

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

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Date of last update: 02 Aug 2025

Sources: Florida Department of State