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KENNETH W. JONES, M.D., P.A.

Company Details

Entity Name: KENNETH W. JONES, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 07 Jan 1985 (40 years ago)
Document Number: H37003
FEI/EIN Number 592489232
Address: % KENNETH W. JONES, M.D., 1004 EDGEWOOD AVENUE, WEST, JACKSONVILLE, FL, 32208
Mail Address: HUBERT W. GILL, CPA, 1751 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL, 32216
ZIP code: 32208
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770543985 2006-03-23 2008-10-15 1004 EDGEWOOD AVE W, JACKSONVILLE, FL, 322086403, US 1004 EDGEWOOD AVE W, JACKSONVILLE, FL, 322086403, US

Contacts

Phone +1 904-765-7774
Fax 9047661264

Authorized person

Name KENNETH W JONES
Role PRESIDENT
Phone 9047657774

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
License Number ME0040992
State FL
Is Primary Yes

Agent

Name Role Address
GILL HUBERT W Agent 1751 UNIVERSITY SOUTH, JACKSONVILLE, FL, 32216

Director

Name Role Address
JONES KENNETH W Director 1004 EDGEWOOD AVE., WEST, JACKSONVILLE, FL, 32208

President

Name Role Address
JONES KENNETH W President 1004 EDGEWOOD AVE., WEST, JACKSONVILLE, FL, 32208

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
REINSTATEMENT 2000-10-20 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2000-09-22 No data No data

Date of last update: 01 Feb 2025

Sources: Florida Department of State