Entity Name: | ROBERT LOPEZ EXTENDER PLUS LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
ROBERT LOPEZ EXTENDER PLUS 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: |
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: | 23 Mar 2016 (9 years ago) |
Document Number: | L16000058635 |
FEI/EIN Number |
81-2030082
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 4451 NE 30 TERR, LIGHTHOUSE POINT, FL, 33064, US |
Mail Address: | 4451 NE 30 TERR, LIGHTHOUSE POINT, FL, 33064, US |
ZIP code: | 33064 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1033668074 | 2016-10-03 | 2018-02-08 | 4451 NE 30TH TER, LIGHTHOUSE POINT, FL, 330647229, US | 4451 NE 30TH TER, LIGHTHOUSE POINT, FL, 330647229, US | |||||||||||||||||||||
|
Phone | +1 352-585-7527 |
Fax | 7548007730 |
Authorized person
Name | ROBERT LOPEZ |
Role | OWNER |
Phone | 7548007730 |
Taxonomy
Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 015779500 |
State | FL |
Name | Role | Address |
---|---|---|
LOPEZ ROBERT | Authorized Member | 4451 NE 30 TERR, LIGHTHOUSE POINT, FL, 33064 |
LOPEZ ROBERT | Agent | 4451 NE 30 TERR, LIGHTHOUSE POINT, FL, 33064 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G20000087762 | EMC PROVIDER | ACTIVE | 2020-07-23 | 2025-12-31 | - | 4451 NE 30TH TERRACE, LIGHTHOUSE POINT, FL, 33064 |
Name | Date |
---|---|
ANNUAL REPORT | 2025-02-09 |
ANNUAL REPORT | 2024-01-29 |
ANNUAL REPORT | 2023-03-04 |
ANNUAL REPORT | 2022-03-07 |
ANNUAL REPORT | 2021-02-04 |
ANNUAL REPORT | 2020-05-20 |
ANNUAL REPORT | 2019-04-08 |
ANNUAL REPORT | 2018-03-05 |
ANNUAL REPORT | 2017-03-29 |
Florida Limited Liability | 2016-03-23 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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7664697301 | 2020-04-30 | 0455 | PPP | 4451 NE 30TH TER, LIGHTHOUSE POINT, FL, 33064-7229 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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7947528401 | 2021-02-12 | 0455 | PPS | 4451 NE 30th Ter N/A, Lighthouse Point, FL, 33064-7229 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State