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EMERALD COAST WALK-IN CLINIC LLC - Florida Company Profile

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Company Details

Entity Name: EMERALD COAST WALK-IN CLINIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Jun 2022 (3 years ago)
Document Number: L22000289038
FEI/EIN Number 92-1688871
Address: 3890 JENKS AVENUE, LYNN HAVEN, FL, 32444, US
Mail Address: 3890 JENKS AVENUE, LYNN HAVEN, FL, 32444, US
ZIP code: 32444
City: Lynn Haven
County: Bay
Place of Formation: FLORIDA

Key Officers & Management

Role
Agent
Manager

National Provider Identifier

NPI Number:
1780478016
Certification Date:
2025-04-09

Authorized Person:

Name:
WAQAS FARUQUI
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8502154440

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-04-19
Florida Limited Liability 2022-06-27

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Date of last update: 03 Aug 2025

Sources: Florida Department of State