| Entity Name: | EMDI HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Aug 2022 (3 years ago) |
| Document Number: | L22000356087 |
| FEI/EIN Number | 88-3616698 |
| Mail Address: | 2213 FUNSTON STREET, HOLLYWOOD, FL 33020 |
| Address: | 3700 Washington Street Suite #104, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417670357 | 2022-09-26 | 2022-09-26 | 2213 FUNSTON ST, HOLLYWOOD, FL, 330205950, US | 3700 WASHINGTON ST STE 104, HOLLYWOOD, FL, 330218291, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 857-262-1620 |
Authorized person
| Name | JENNIFER MBIANDA |
| Role | MEDICAL DOCTOR/OWNER |
| Phone | 4042878862 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 133V00000X - Registered Dietitian |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MBIANDA, JULVET C | Agent | 2213 FUNSTON STREET, HOLLYWOOD, FL 33020 |
| Name | Role | Address |
|---|---|---|
| MBIANDA, JULVET C | Manager | 2213 FUNSTON STREET, HOLLYWOOD, FL 33020 |
| Mbianda, Jennifer | Manager | 2213 FUNSTON STREET, HOLLYWOOD, FL 33020 |
| Name | Role | Address |
|---|---|---|
| MBIANDA, JULVET C | President | 2213 FUNSTON STREET, HOLLYWOOD, FL 33020 |
| Name | Role | Address |
|---|---|---|
| Mbianda, Jennifer | Chief Executive Officer | 2213 FUNSTON STREET, HOLLYWOOD, FL 33020 |
| Name | Role | Address |
|---|---|---|
| Mbianda, Jennifer | Authorized member | 2213 FUNSTON STREET, HOLLYWOOD, FL 33020 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000026411 | EMDI HEALTH OBESITY & AESTHETICS | ACTIVE | 2024-02-18 | 2029-12-31 | No data | 2213 FUNSTON STREET, HOLLYWOOD, FL, 33020 |
| G22000144703 | EMDI HEALTH | ACTIVE | 2022-11-21 | 2027-12-31 | No data | 2213 FUNSTON STREET, HOLLYWOOD, FL, 33020 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-11-15 | 3700 Washington Street Suite #104, HOLLYWOOD, FL 33021 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-06 |
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-03-31 |
| Florida Limited Liability | 2022-08-12 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
