| Entity Name: | FLORIDA BEST PRIMARY CARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 May 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 26 Jul 2019 (6 years ago) |
| Document Number: | L19000128382 |
| FEI/EIN Number | 84-1748165 |
| Address: | 2718 Lee Blvd, Lehigh Acres, FL, 33971, US |
| Mail Address: | 2718 Lee Blvd, Lehigh Acres, FL, 33971, US |
| ZIP code: | 33971 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730739053 | 2019-09-18 | 2022-09-07 | 2718 LEE BLVD STE B, LEHIGH ACRES, FL, 339711537, US | 2718 LEE BLVD STE B, LEHIGH ACRES, FL, 339711537, US | |||||||||||||||||||||||
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| Phone | +1 239-332-0407 |
| Fax | 2392442195 |
| Phone | +1 239-288-0840 |
Authorized person
| Name | DR. EMLYN LOUIS |
| Role | PHYSICIAN |
| Phone | 9544650180 |
Taxonomy
| Taxonomy Code | 305S00000X - Point of Service |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 2178318500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOUIS EMLYN | Agent | 10284 MEDICIS PL, WELLINGTON, FL, 33449 |
| Name | Role | Address |
|---|---|---|
| Louis Emlyn | Manager | 2718 Lee Blvd suite B, Lehigh Acres, FL, 33971 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-05-12 | 2718 Lee Blvd, B, Lehigh Acres, FL 33971 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-25 | 2718 Lee Blvd, B, Lehigh Acres, FL 33971 | No data |
| LC AMENDMENT | 2019-07-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-05-12 |
| ANNUAL REPORT | 2020-06-25 |
| LC Amendment | 2019-07-26 |
| Florida Limited Liability | 2019-05-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
