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EMC PROVIDERS LLC - Florida Company Profile

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Company Details

Entity Name: EMC PROVIDERS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Jan 2019 (7 years ago)
Document Number: L19000010861
FEI/EIN Number 84-1840994
Address: 4451 NE 30th Ter, Lighthouse Point, FL, 33064, US
Mail Address: 4451 NE 30th Terrace, Lighthouse Point, FL, 33064, US
ZIP code: 33064
City: Pompano Beach
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Lopez Robert President 4451 NE 30th Terrace, Lighthouse Point, FL, 33064
Lopez Robert Agent 4451 NE 30th Terrace, Lighthouse Point, FL, 33064

National Provider Identifier

NPI Number:
1386232866
Certification Date:
2025-04-04

Authorized Person:

Name:
ROBERT LOPEZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-11-06 4451 NE 30th Ter, Lighthouse Point, FL 33064 -
CHANGE OF MAILING ADDRESS 2024-11-06 4451 NE 30th Ter, Lighthouse Point, FL 33064 -
REGISTERED AGENT NAME CHANGED 2024-11-06 Lopez, Robert -
REGISTERED AGENT ADDRESS CHANGED 2024-11-06 4451 NE 30th Terrace, Lighthouse Point, FL 33064 -

Documents

Name Date
ANNUAL REPORT 2025-02-09
AMENDED ANNUAL REPORT 2024-11-06
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-02-28
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-01-15
Florida Limited Liability 2019-01-07

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Date of last update: 01 Aug 2025

Sources: Florida Department of State