| Entity Name: | CENTER FOR HEALTH & SPORTS MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Jun 2009 (16 years ago) |
| Document Number: | L09000058361 |
| FEI/EIN Number | 270388870 |
| Address: | 201 VILLAGE OAKS DRIVE, FRUIT COVE, FL, 32259, US |
| Mail Address: | 201 VILLAGE OAKS DRIVE, FRUIT COVE, FL, 32259, US |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386963932 | 2010-05-21 | 2010-07-16 | 205 SHIRLEYS WAY, ST AUGUSTINE, FL, 32086, US | 115 BARTRAM OAKS WALK, SUITE 104, JACKSONVILLE, FL, 322593243, US | |||||||||||||||||
|
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| Phone | +1 904-501-3010 |
Authorized person
| Name | DR. ROSS OSBORN |
| Role | PHYSICIAN |
| Phone | 9045013010 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME89577 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OSBORN ROSS M | Agent | 201 VILLAGE OAKS DRIVE, FRUIT COVE, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| OSBORN ROSS M | Manager | 201 VILLAGE OAKS DRIVE, FRUIT COVE, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-12 | 201 VILLAGE OAKS DRIVE, FRUIT COVE, FL 32259 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-12 | 201 VILLAGE OAKS DRIVE, FRUIT COVE, FL 32259 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-12 | 201 VILLAGE OAKS DRIVE, FRUIT COVE, FL 32259 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-05-09 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-02-16 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
