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EJMD, PLLC - Florida Company Profile

Company Details

Entity Name: EJMD, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

EJMD, PLLC 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 31 Aug 2021 (4 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 03 Jan 2022 (3 years ago)
Document Number: L21000389610
FEI/EIN Number 87-2763592

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 3801 PGA Blvd, Palm Beach Gardens, FL, 33410, US
Mail Address: 3801 PGA Blvd, Palm Beach Gardens, FL, 33410, US
ZIP code: 33410
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356039317 2023-04-27 2023-12-27 3801 PGA BLVD STE 600, PALM BEACH GARDENS, FL, 334102756, US 3801 PGA BLVD STE 600, PALM BEACH GARDENS, FL, 334102756, US

Contacts

Phone +1 561-815-9791

Authorized person

Name DR. EVAN L JACOBSON
Role PSYCHIATRIST
Phone 5618159791

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Key Officers & Management

Name Role Address
JACOBSON EVAN Managing Member 3801 PGA Blvd, Palm Beach Gardens, FL, 33410
JACOBSON EVAN Agent 3801 PGA Blvd, Palm Beach Gardens, FL, 33410

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000086502 EJMD, PLLC DBA FAIRWAY PSYCHIATRY ACTIVE 2022-07-21 2027-12-31 - 3801 PGA BLVD,SUITE 600, PALM BEACH GARDENS, FL, 33410
G21000126696 EJMD, PLLC DBA EJMD PSYCHIATRY OF PALM BEACH ACTIVE 2021-09-22 2026-12-31 - 217 BLESSED ISLES LANE, JUPITER, FL, 33478

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-05 3801 PGA Blvd, Suite 600, Palm Beach Gardens, FL 33410 -
CHANGE OF MAILING ADDRESS 2023-01-05 3801 PGA Blvd, Suite 600, Palm Beach Gardens, FL 33410 -
REGISTERED AGENT ADDRESS CHANGED 2023-01-05 3801 PGA Blvd, Suite 600, Palm Beach Gardens, FL 33410 -
LC AMENDMENT 2022-01-03 - -

Documents

Name Date
ANNUAL REPORT 2025-01-09
ANNUAL REPORT 2024-01-17
ANNUAL REPORT 2023-01-05
ANNUAL REPORT 2022-04-12
LC Amendment 2022-01-03
Florida Limited Liability 2021-08-31

Date of last update: 01 Apr 2025

Sources: Florida Department of State