Search icon

NORTH FLORIDA HOSPITALISTS, LLC

Company Details

Entity Name: NORTH FLORIDA HOSPITALISTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 14 Jul 2003 (22 years ago)
Date of dissolution: 28 Sep 2012 (12 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (12 years ago)
Document Number: L03000025627
FEI/EIN Number 571178280
Address: 1893 KINGSLEY AVENUE, SUITE C, ORANGE PARK, FL, 32073
Mail Address: 1893 KINGSLEY AVENUE, SUITE C, ORANGE PARK, FL, 32073
ZIP code: 32073
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497934293 2007-10-29 2008-01-31 425 N LEE ST, SUITE 202A, JACKSONVILLE, FL, 322041127, US 2001 KINGSLEY AVE, ORANGE PARK, FL, 320735148, US

Contacts

Phone +1 904-366-3738
Fax 9043543571
Phone +1 904-276-2044
Fax 9042762106

Authorized person

Name JAIME M GIBBS
Role CREDENTIALING COORDINATOR
Phone 9049624271

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
AKEL EDWARD C Agent 1 INDEPENDENT DR., JACKSONVILLE, FL, 32202

Manager

Name Role
PMC SERVICES LLC Manager

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
CHANGE OF PRINCIPAL ADDRESS 2010-01-13 1893 KINGSLEY AVENUE, SUITE C, ORANGE PARK, FL 32073 No data
CHANGE OF MAILING ADDRESS 2010-01-13 1893 KINGSLEY AVENUE, SUITE C, ORANGE PARK, FL 32073 No data
LC AMENDMENT 2008-12-15 No data No data
REGISTERED AGENT NAME CHANGED 2004-04-13 AKEL, EDWARD C No data
REGISTERED AGENT ADDRESS CHANGED 2004-04-13 1 INDEPENDENT DR., STE. 2301, JACKSONVILLE, FL 32202 No data

Documents

Name Date
ANNUAL REPORT 2011-04-25
ANNUAL REPORT 2010-01-13
ANNUAL REPORT 2009-05-20
ANNUAL REPORT 2009-04-15
LC Amendment 2008-12-15
ANNUAL REPORT 2008-02-04
ANNUAL REPORT 2007-02-27
ANNUAL REPORT 2006-02-27
ANNUAL REPORT 2005-01-28
ANNUAL REPORT 2004-04-13

Date of last update: 02 Feb 2025

Sources: Florida Department of State