| Entity Name: | PULMONARY & CRITICAL CARE CONSULTANTS OF JACKSONVILLE, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Jun 2006 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 11 Oct 2017 (7 years ago) |
| Document Number: | L06000066102 |
| FEI/EIN Number | 161765280 |
| Address: | 8075 GATE PARKWAY WEST, SUITE #304, JACKSONVILLE, FL, 32216 |
| Mail Address: | 8075 GATE PARKWAY WEST, SUITE #304, JACKSONVILLE, FL, 32216 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407946387 | 2006-10-13 | 2008-09-02 | PO BOX 551537, JACKSONVILLE, FL, 322551537, US | 8075 GATE PKWY W, SUITE 304, JACKSONVILLE, FL, 322163684, US | |||||||||||||||||||||||||
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| Phone | +1 904-739-6666 |
| Fax | 9047391009 |
Authorized person
| Name | DR. AMIT K CHAKRAVARTY |
| Role | OWNER |
| Phone | 9047396666 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | ME53176 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE GROUP |
| Number | DF4633 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHAKRAVARTY AMIT K | Agent | 9914 CHELSEA LAKE ROAD, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| CHAKRAVARTY AMIT | Manager | 9914 CHELSEA LAKE ROAD, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-10-11 | CHAKRAVARTY, AMIT K | No data |
| REINSTATEMENT | 2017-10-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2012-10-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REINSTATEMENT | 2011-01-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2007-01-16 | 8075 GATE PARKWAY WEST, SUITE #304, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-16 | 8075 GATE PARKWAY WEST, SUITE #304, JACKSONVILLE, FL 32216 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-01-16 | 9914 CHELSEA LAKE ROAD, JACKSONVILLE, FL 32256 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-05-26 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-04-30 |
| REINSTATEMENT | 2017-10-11 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
