| Entity Name: | WADEN E. EMERY III, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 27 Aug 1990 (34 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 16 Nov 2024 (3 months ago) |
| Document Number: | L96722 |
| FEI/EIN Number | 65-0217209 |
| Address: | 3121 NE 48TH STREET, LIGHTHOUSE POINT, FL 33064 |
| Mail Address: | 3121 NE 48TH STREET, LIGHTHOUSE POINT, FL 33064 |
| ZIP code: | 33064 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740447176 | 2008-05-22 | 2008-06-19 | 5340 N FEDERAL HWY, SUITE 205, LIGHTHOUSE POINT, FL, 330647058, US | 5340 N FEDERAL HWY, SUITE 205, LIGHTHOUSE POINT, FL, 330647058, US | |||||||||||||||||||||||||
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| Phone | +1 954-771-8300 |
| Fax | 9547714002 |
Authorized person
| Name | DR. WADEN EVERETT EMERY III |
| Role | PRESIDENT |
| Phone | 9547718300 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | ME45215 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 049128400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| EMERY, WADEN E III MD | Agent | 3121 NE 48TH STREET, LIGHTHOUSE POINT, FL 33064 |
| Name | Role | Address |
|---|---|---|
| EMERY, WADEN E. | Director | 3121 NE 48TH STREET, LIGHTHOUSE POINT, FL 33064 |
| Name | Role | Address |
|---|---|---|
| EMERY, WADEN E. | President | 3121 NE 48TH STREET, LIGHTHOUSE POINT, FL 33064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-11-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-20 | 3121 NE 48TH STREET, LIGHTHOUSE POINT, FL 33064 | No data |
| REINSTATEMENT | 2023-03-20 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-20 | 3121 NE 48TH STREET, LIGHTHOUSE POINT, FL 33064 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-20 | 3121 NE 48TH STREET, LIGHTHOUSE POINT, FL 33064 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2017-12-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-12-05 | EMERY, WADEN E III MD | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-16 |
| REINSTATEMENT | 2023-03-20 |
| REINSTATEMENT | 2017-12-05 |
| ANNUAL REPORT | 2016-04-08 |
| ANNUAL REPORT | 2015-04-24 |
| ANNUAL REPORT | 2014-04-17 |
| ANNUAL REPORT | 2013-04-18 |
| ANNUAL REPORT | 2012-02-15 |
| ANNUAL REPORT | 2011-02-24 |
| ANNUAL REPORT | 2010-04-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
