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PCP FINANCIAL SERVICES, L.L.C.

PCP FINANCIAL SERVICES, L.L.C.

Company Details

Entity Name:	PCP FINANCIAL SERVICES, L.L.C.
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Co.
Status:	Active
Date Filed:	23 Apr 2001 (24 years ago)
Document Number:	L01000006246
FEI/EIN Number	593731973
Mail Address:	705 Wells Road, Suite 300, Orange Park, FL, 32073, US
Address:	705 Wells Road, Suite 300, Jacksonville, FL, 32244, US
ZIP code:	32244
County:	Duval
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1134378078

2008-09-16

2024-04-26

705 WELLS RD STE 300, ORANGE PARK, FL, 320732982, US

705 WELLS RD STE 300, ORANGE PARK, FL, 320732982, US

Contacts

Phone	+1 904-282-6331
Fax	9046191080

Authorized person

Name	ANDREW T CHRISTMAN
Role	CFO
Phone	9416857688

Taxonomy

Taxonomy Code	302F00000X - Exclusive Provider Organization
Is Primary	Yes

Other Provider Identifiers

Issuer	MEDICAID
Number	016717900
State	FL

Agent

Name	Role
MH CORPORATE SERVICES, INC.	Agent

Manager

Name	Role	Address
Powell Kenneth A	Manager	705 Wells Road, Jacksonville, FL, 32244

Chief Executive Officer

Name	Role	Address
Christman Andrew	Chief Executive Officer	705 Wells Road, Jacksonville, FL, 32244

Chief Operating Officer

Name	Role	Address
Taboh Gregg	Chief Operating Officer	705 Wells Road, Jacksonville, FL, 32244

Treasurer

Name	Role	Address
Miller Alan E	Treasurer	705 Wells Road, Jacksonville, FL, 32244

Secretary

Name	Role	Address
Greene Michael	Secretary	705 Wells Road, Jacksonville, FL, 32244

Events

Event Type	Filed Date	Value	Description
LC STMNT OF RA/RO CHG	2017-02-15	No data	No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State