Entity Name: | EMERALD COAST INTERNAL MEDICINE AND GERIATRICS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
EMERALD COAST INTERNAL MEDICINE AND GERIATRICS, 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: | 13 May 2014 (11 years ago) |
Date of dissolution: | 25 Sep 2020 (5 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2020 (5 years ago) |
Document Number: | L14000077083 |
FEI/EIN Number |
46-5643114
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 2810 Highway 77, PANAMA CITY, FL, 32405, US |
Mail Address: | PO BOX 419, LYNN HAVEN, FL, 32444, US |
ZIP code: | 32405 |
County: | Bay |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1114339074 | 2014-05-27 | 2014-09-24 | PO BOX 419, LYNN HAVEN, FL, 324440419, US | 280 FOREST PARK CIR, PANAMA CITY, FL, 324054919, US | |||||||||||||||||||
|
Phone | +1 850-896-9688 |
Fax | 8507697717 |
Authorized person
Name | DR. EMAD A EISA |
Role | MEDICAL DOCTOR |
Phone | 7035986013 |
Taxonomy
Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
License Number | ME114732 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
EISA EMAD ADr. | Mang | 2810 Highway 77, PANAMA CITY, FL, 32405 |
EISA EMAD A | Agent | 2810 Highway 77, PANAMA CITY, FL, 32405 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
REINSTATEMENT | 2019-01-10 | - | - |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
REGISTERED AGENT NAME CHANGED | 2017-09-27 | EISA, EMAD A | - |
REINSTATEMENT | 2017-09-27 | - | - |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
CHANGE OF PRINCIPAL ADDRESS | 2016-07-08 | 2810 Highway 77, PANAMA CITY, FL 32405 | - |
REGISTERED AGENT ADDRESS CHANGED | 2016-07-08 | 2810 Highway 77, PANAMA CITY, FL 32405 | - |
Name | Date |
---|---|
REINSTATEMENT | 2019-01-10 |
REINSTATEMENT | 2017-09-27 |
ANNUAL REPORT | 2016-07-08 |
ANNUAL REPORT | 2015-06-11 |
Florida Limited Liability | 2014-05-13 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State