| Entity Name: | MEDICAL SPECIALISTS OF NORTHEAST FLORIDA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Dec 2010 (14 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Oct 2020 (4 years ago) |
| Document Number: | L11000000023 |
| FEI/EIN Number | 274427865 |
| Address: | 6428 Beach Blvd, Jacksonville, FL, 32216, US |
| Mail Address: | 6428 Beach Blvd, Jacksonville, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285938936 | 2011-01-10 | 2022-11-10 | 6428 BEACH BLVD STE 1A, JACKSONVILLE, FL, 322162813, US | 6428 BEACH BLVD STE 1A, JACKSONVILLE, FL, 322162813, US | |||||||||||||||||||
|
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| Phone | +1 904-475-2039 |
| Fax | 9043300668 |
| Phone | +1 904-342-0816 |
| Fax | 9043420553 |
Authorized person
| Name | SHRIRAM MARATHE |
| Role | MEMBER |
| Phone | 9044845176 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MADHUKAR SHARMA | Agent | 6428 Beach Blvd, Jacksonville, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| MADHUKAR SHARMA | Authorized Member | 6428 Beach Blvd, Jacksonville, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-28 | 6428 Beach Blvd, Jacksonville, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-28 | 6428 Beach Blvd, Jacksonville, FL 32216 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-28 | 6428 Beach Blvd, Jacksonville, FL 32216 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-08 | MADHUKAR, SHARMA | No data |
| REINSTATEMENT | 2020-10-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| LC AMENDMENT | 2016-06-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-16 |
| REINSTATEMENT | 2020-10-08 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-28 |
| LC Amendment | 2016-06-15 |
| ANNUAL REPORT | 2016-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
