| Entity Name: | MEDICAL PARTNERS OF JACKSONVILLE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Sep 2011 (13 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L11000107284 |
| FEI/EIN Number | 453336767 |
| Address: | 644 Cesery Blvd, Jacksonville, FL, 32211, US |
| Mail Address: | 644 Cesery Blvd, Jacksonville, FL, 32211, US |
| ZIP code: | 32211 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992081715 | 2011-10-25 | 2011-10-25 | 6269 BEACH BLVD, JACKSONVILLE, FL, 322162768, US | 6269 BEACH BLVD, JACKSONVILLE, FL, 322162768, US | |||||||||||||||||||
|
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| Phone | +1 904-458-7246 |
| Fax | 9047433087 |
Authorized person
| Name | HEMANT SHAH |
| Role | PRESIDENT |
| Phone | 9044587246 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | ME95262 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Shah Hemant | Agent | 644 Cesery Blvd, Jacksonville, FL, 32211 |
| Name | Role | Address |
|---|---|---|
| SHAH HEMANT | Managing Member | 644 Cesery Blvd, Jacksonville, FL, 32211 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000092704 | SPINE AND JOINT PAIN MANAGEMENT | EXPIRED | 2011-09-20 | 2016-12-31 | No data | 1564 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-29 | 644 Cesery Blvd, Suite 106, Jacksonville, FL 32211 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-29 | 644 Cesery Blvd, Suite 106, Jacksonville, FL 32211 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-29 | 644 Cesery Blvd, Suite 106, Jacksonville, FL 32211 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-07-16 | Shah, Hemant | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-03-29 |
| AMENDED ANNUAL REPORT | 2014-07-16 |
| ANNUAL REPORT | 2014-01-31 |
| ANNUAL REPORT | 2013-04-03 |
| ANNUAL REPORT | 2012-03-26 |
| Florida Limited Liability | 2011-09-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
