| Entity Name: | MEDIC PARTNERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Apr 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 12 Jul 2021 (4 years ago) |
| Document Number: | L21000164387 |
| FEI/EIN Number | 86-3282802 |
| Mail Address: | 2848 S SEACREST BLVD, BOYNTON BEACH, FL, 33435 |
| Address: | 2848 S. SEACREST BLVD, BOYNTON BEACH, FL, 33435 |
| ZIP code: | 33435 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902572753 | 2021-08-20 | 2023-11-01 | 2848 S SEACREST BLVD, BOYNTON BEACH, FL, 334357935, US | 2848 S SEACREST BLVD, BOYNTON BEACH, FL, 334357935, US | |||||||||||||||||||||||
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| Phone | +1 561-738-7611 |
| Fax | 5617387622 |
Authorized person
| Name | JEAN RICHARD ETIENNE |
| Role | MEDICAL DIRECTOR |
| Phone | 5617387611 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SEBASTIEN ETIENNE R | Agent | 17383 PAVAROSO STREET, BOCA RATON FL, FL, 33496 |
| Name | Role |
|---|---|
| LOULOUNE LLC | Manager |
| DELRAY BEACH MEDICAL MANAGEMENT, LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-23 | SEBASTIEN, ETIENNE R | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-23 | 17383 PAVAROSO STREET, BOCA RATON FL, FL 33496 | No data |
| LC AMENDMENT | 2021-07-12 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-29 |
| LC Amendment | 2021-07-12 |
| Florida Limited Liability | 2021-04-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
