| Entity Name: | EPP FLORIDA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Jul 2022 (3 years ago) |
| Document Number: | L22000337899 |
| FEI/EIN Number | 88-3571481 |
| Address: | 660 EXECUTIVE PARK COURT, SUITE 1600, APOPKA, FL 32703 |
| Mail Address: | 150 CONTINENTAL PLACE, SUITE 300, BRENTWOOD, TN 37027 |
| ZIP code: | 32703 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134856560 | 2022-08-05 | 2022-08-05 | PO BOX 1584, BRENTWOOD, TN, 370241584, US | 660 EXECUTIVE PARK CT STE 1600, APOPKA, FL, 327036080, US | |||||||||||||||||
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| Phone | +1 615-933-5166 |
| Fax | 6154226719 |
| Phone | +1 407-930-4496 |
Authorized person
| Name | JASON BERTOLLINI |
| Role | INSURANCE SPECIALIST |
| Phone | 3154500763 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C.T. CORPORATION | Agent |
| Name | Role | Address |
|---|---|---|
| Lowe, Eircka Shelly, Dr. | Member | 660 EXECUTIVE PARK COURT, SUITE 1600, APOPKA, FL 32703 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-10 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-04-18 |
| Florida Limited Liability | 2022-07-25 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
