| Entity Name: | EMERALD WATERS PRIMARY CARE, P.L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jul 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 01 Nov 2021 (3 years ago) |
| Document Number: | L21000335342 |
| FEI/EIN Number | 871900590 |
| Address: | 7295 NAVARRE PKWY, NAVARRE, FL, 32566, US |
| Mail Address: | 7295 NAVARRE PKWY, NAVARRE, FL, 32566, US |
| ZIP code: | 32566 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548924350 | 2021-10-27 | 2023-09-07 | 7295 NAVARRE PKWY, NAVARRE, FL, 325667307, US | 7295 NAVARRE PKWY, NAVARRE, FL, 325667307, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 850-898-0149 |
Authorized person
| Name | WENDY MULKY |
| Role | MANAGER |
| Phone | 8503410648 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SCHULTZ KERRY ANNE ESQ. | Agent | 2777 GULF BREEZE PARKWAY, GULF BREEZE, FL, 32563 |
| Name | Role | Address |
|---|---|---|
| Curtsinger Alison SM.D. | Manager | 7295 Navarre Pkwy, Navarre, FL, 32566 |
| MULKEY WENDY | Manager | 7295 NAVARRE PKWY, NAVARRE, FL, 32566 |
| Name | Role | Address |
|---|---|---|
| Curtsinger Alison SM.D. | Member | 7295 Navarre Pkwy, Navarre, FL, 32566 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-17 | 2777 GULF BREEZE PARKWAY, GULF BREEZE, FL 32563 | No data |
| LC AMENDMENT | 2021-11-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-01 | 7295 NAVARRE PKWY, NAVARRE, FL 32566 | No data |
| CHANGE OF MAILING ADDRESS | 2021-11-01 | 7295 NAVARRE PKWY, NAVARRE, FL 32566 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-12 |
| ANNUAL REPORT | 2022-04-28 |
| LC Amendment | 2021-11-01 |
| Florida Limited Liability | 2021-07-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
