| Entity Name: | AJ INITIATIVES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Nov 2009 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Mar 2015 (10 years ago) |
| Document Number: | L09000107697 |
| FEI/EIN Number | 271297340 |
| Address: | 4631 HIGHLANDS PLACE DRIVE, LAKELAND, FL, 33813, US |
| Mail Address: | 4631 HIGHLANDS PLACE DRIVE, LAKELAND, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154615326 | 2011-06-06 | 2016-09-09 | 4631 HIGHLANDS PLACE DR, LAKELAND, FL, 338132160, US | 4631 HIGHLANDS PLACE DR, LAKELAND, FL, 338132160, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 863-521-7105 |
Authorized person
| Name | JORDAN ECKERT |
| Role | PRESIDENT |
| Phone | 8635217105 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 2086S0102X - Surgical Critical Care Physician |
| Is Primary | No |
| Taxonomy Code | 246ZC0007X - Surgical Assistant |
| License Number | ME72650 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 011160100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Eckert Jordan | Agent | 4631 HIGHLANDS PLACE DRIVE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| ECKERT JORDAN | Manager | 4631 HIGHLANDS PLACE DRIVE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| ECKERT JORDAN | President | 4631 HIGHLANDS PLACE DRIVE, LAKELAND, FL, 33813 |
| ECKERT APRIL | President | 4631 HIGHLANDS PLACE DRIVE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| ECKERT APRIL | Vice President | 4631 HIGHLANDS PLACE DRIVE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| ECKERT APRIL | Secretary | 4631 HIGHLANDS PLACE DRIVE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| ECKERT APRIL | Treasurer | 4631 HIGHLANDS PLACE DRIVE, LAKELAND, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2015-03-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-03-01 | Eckert, Jordan | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-01 | 4631 HIGHLANDS PLACE DRIVE, LAKELAND, FL 33813 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-03-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
