| Entity Name: | MEDEX CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Oct 2007 (17 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 19 Dec 2022 (2 years ago) |
| Document Number: | L07000100795 |
| FEI/EIN Number | 943444156 |
| Address: | 1395 CASSAT AVENUE, SUITE 3, JACKSONVILLE, FL, 32205, US |
| Mail Address: | 1395 CASSAT AVENUE, SUITE 3, JACKSONVILLE, FL, 32205, US |
| ZIP code: | 32205 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750537445 | 2008-08-13 | 2014-08-25 | 1395 CASSAT AVE STE 3, JACKSONVILLE, FL, 322059615, US | 865 CASSAT AVE, JACKSONVILLE, FL, 322054856, US | |||||||||||||||||||||
|
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| Phone | +1 904-388-3229 |
| Fax | 9042077321 |
| Fax | 9043888611 |
Authorized person
| Name | DR. ASIM NOUMAN |
| Role | PRESIDENT-MGRM |
| Phone | 9043883229 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME100337 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NOUMAN ASIM | Agent | 1395 CASSAT AVENUE, JACKSONVILLE, FL, 32205 |
| Name | Role | Address |
|---|---|---|
| NOUMAN ASIM | Managing Member | 1395 CASSAT AVENUE, JACKSONVILLE, FL, 32205 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000009883 | AVICENA VITALITY PLUS LLC | ACTIVE | 2024-01-17 | 2029-12-31 | No data | 1395 CASSAT AVE SUITE 3, JACKSONVILLE, FL, 32205 |
| G11000042337 | AVICENA FAMILY CARE | EXPIRED | 2011-05-02 | 2016-12-31 | No data | 865 CASSAT AVE, JACKSONVILLE, FL, 32205 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-12-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2021-10-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-10-14 | 1395 CASSAT AVENUE, SUITE 3, JACKSONVILLE, FL 32205 | No data |
| REINSTATEMENT | 2016-10-14 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-10-14 | 1395 CASSAT AVENUE, SUITE 3, JACKSONVILLE, FL 32205 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-14 | NOUMAN, ASIM | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-10-14 | 1395 CASSAT AVENUE, SUITE 3, JACKSONVILLE, FL 32205 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-24 |
| REINSTATEMENT | 2022-12-19 |
| REINSTATEMENT | 2021-10-04 |
| ANNUAL REPORT | 2020-05-14 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-24 |
| REINSTATEMENT | 2016-10-14 |
| DEBIT MEMO# 021233-D | 2016-08-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
