| Entity Name: | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 17 Oct 1978 (46 years ago) |
| Document Number: | 744617 |
| FEI/EIN Number | 591867557 |
| Address: | 653 WEST 8TH STREET, JACKSONVILLE, FL, 32209 |
| Mail Address: | P.O. BOX 44008, JACKSONVILLE, FL, 32231-4008, US |
| ZIP code: | 32209 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902502073 | 2023-02-01 | 2023-02-14 | PO BOX 44008, JACKSONVILLE, FL, 322314008, US | 5191 FIRST COAST TECH PKWY STE 201A, JACKSONVILLE, FL, 322240609, US | |||||||||||||||||
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| Phone | +1 904-244-3566 |
| Phone | +1 904-427-6991 |
| Fax | 9043831459 |
Authorized person
| Name | WENDEY CLARKE LANDKROHN |
| Role | DIRECTOR |
| Phone | 9042443603 |
Taxonomy
| Taxonomy Code | 293D00000X - Physiological Laboratory |
| Is Primary | Yes |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 254900SMA6ID2YYCMU79 | 744617 | US-FL | GENERAL | ACTIVE | No data | |||||||||||||||||||
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| Legal | c/o Young, Thomas William, 653 W. 8th St., Jacksonville, US-FL, US, 32209 |
| Headquarters | 653 W. 8th St., Jacksonville, US-FL, US, 32209 |
Registration details
| Registration Date | 2019-03-13 |
| Last Update | 2022-05-05 |
| Status | LAPSED |
| Next Renewal | 2020-03-13 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | 744617 |
| Name | Role | Address |
|---|---|---|
| YOUNG THOMAS WILLIAM | Agent | 653 WEST 8TH ST., JACKSONVILLE, FL, 32209 |
| Name | Role | Address |
|---|---|---|
| KADAMBI PRADEEP VMD | President | 653 W. 8TH ST., JACKSONVILLE, FL, 32209 |
| Name | Role | Address |
|---|---|---|
| GODWIN ANDY MD | Vice President | 653 W. 8TH ST., JACKSONVILLE, FL, 32209 |
| NEUMAYER LEIGH MD | Vice President | 653 W 8TH ST., JACKSONVILLE, FL, 32209 |
| Name | Role | Address |
|---|---|---|
| Edwards Linda MD | Chairman | 653 W. 8TH ST., JACKSONVILLE, FL, 32209 |
| Name | Role | Address |
|---|---|---|
| Reinschmidt Timothy | Treasurer | 653 WEST 8TH STREET, JACKSONVILLE, FL, 32209 |
| Name | Role | Address |
|---|---|---|
| Young Willilam V | Secretary | 653 WEST 8TH STREET, JACKSONVILLE, FL, 32209 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08099700004 | CENTER FOR AUTISM AND RELATED DISABILITIES | EXPIRED | 2008-04-08 | 2013-12-31 | No data | 653 W 8TH ST, JACKSONVILLE, FL, 32209 |
| G08099700002 | FLORIDA DIAGNOSTIC & LEARNING RESOURCES SYSTEM | EXPIRED | 2008-04-08 | 2013-12-31 | No data | 653 W 8TH ST, JACKSONVILLE, FL, 32209 |
| G08099700003 | SAN JOSE PEDIATRIC AND ADOLESCENT CENTER | EXPIRED | 2008-04-08 | 2013-12-31 | No data | 653 W 8TH ST, JACKSONVILLE, FL, 32209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDED AND RESTATEDARTICLES | 2019-01-29 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2016-06-29 | No data | No data |
| MERGER | 2016-06-29 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000162373 |
| AMENDED AND RESTATEDARTICLES | 2010-06-22 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2005-10-25 | No data | No data |
| AMENDED AND RESTATEDARTICLES/NAME CHANGE | 1996-10-09 | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. | No data |
| AMENDED AND RESTATEDARTICLES | 1995-02-23 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 1992-12-15 | No data | No data |
| NAME CHANGE AMENDMENT | 1987-08-27 | JACKSONVILLE FACULTY PRACTICE ASSOCIATION, INC. | No data |
| REINSTATEMENT | 1985-01-16 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
