| Entity Name: | NORTH FLORIDA ACUTE CARE SPECIALISTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
NORTH FLORIDA ACUTE CARE SPECIALISTS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 29 Jul 2008 (17 years ago) |
| Date of dissolution: | 25 Sep 2015 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (10 years ago) |
| Document Number: | L08000072515 |
| FEI/EIN Number |
263061812
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1392 EAGLE CROSSING DRIVE, ORANGE PARK, FL, 32065, US |
| Mail Address: | P.O. BOX 551698, JACKSONVILLE, FL, 32255-1698, US |
| ZIP code: | 32065 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245489038 | 2008-09-16 | 2010-03-31 | PO BOX 551698, JACKSONVILLE, FL, 322551698, US | 5991 CHESTER AVE STE 211, JACKSONVILLE, FL, 322172245, US | |||||||||||||||||||||||||||||
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| Phone | +1 904-276-6903 |
| Fax | 8004310524 |
| Phone | +1 904-517-1400 |
Authorized person
| Name | DR. DASTAGIR KHAN |
| Role | MANAGING MEMBER |
| Phone | 9049557190 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000767800 |
| State | FL |
| Issuer | BCBS |
| Number | 99966 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HAVRYLIUK VLADIMIR | Managing Member | 13714 BROMELY POINT DRIVE, JACKSONVILLE, FL, 32225 |
| RODRIGUEZ ISMAEL | Managing Member | 1392 EAGLE CROSSING DRIVE, ORANGE PARK, FL, 32065 |
| TOUHEED MOHAMMAD | Managing Member | 13116 HIGHLAND GLEN WAY EAST, JACKSONVILLE, FL, 32224 |
| RODRIGUEZ ISMAEL | Agent | 1392 EAGLE CROSSING DRIVE, ORANGE PARK, FL, 32065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-03-21 | 1392 EAGLE CROSSING DRIVE, ORANGE PARK, FL 32065 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-21 | 1392 EAGLE CROSSING DRIVE, ORANGE PARK, FL 32065 | - |
| REGISTERED AGENT NAME CHANGED | 2011-04-17 | RODRIGUEZ, ISMAEL | - |
| LC AMENDMENT | 2010-12-06 | - | - |
| REINSTATEMENT | 2010-10-18 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | - | - |
| CHANGE OF MAILING ADDRESS | 2010-04-13 | 1392 EAGLE CROSSING DRIVE, ORANGE PARK, FL 32065 | - |
| LC AMENDMENT | 2008-09-11 | - | - |
| LC AMENDMENT | 2008-09-10 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-03-26 |
| ANNUAL REPORT | 2013-03-10 |
| ANNUAL REPORT | 2012-03-21 |
| ANNUAL REPORT | 2011-04-17 |
| LC Amendment | 2010-12-06 |
| REINSTATEMENT | 2010-10-18 |
| ADDRESS CHANGE | 2010-04-13 |
| ANNUAL REPORT | 2009-01-20 |
| LC Amendment | 2008-09-10 |
| Florida Limited Liability | 2008-07-29 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
