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FLORIDA PHYSICIAN SPECIALISTS, LLC.

Company Details

Entity Name: FLORIDA PHYSICIAN SPECIALISTS, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Jul 2012 (13 years ago)
Document Number: L12000091654
FEI/EIN Number 460772206
Address: 7017 A C Skinner Parkway, JACKSONVILLE, FL, 32256, US
Mail Address: 7017 A C Skinner Parkway, JACKSONVILLE, FL, 32256, US
ZIP code: 32256
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932680469 2018-08-23 2024-07-16 7017 A C SKINNER PKWY, JACKSONVILLE, FL, 322566932, US 1860 TOWN HALL CIR, FLEMING ISLAND, FL, 320034331, US

Contacts

Phone +1 904-520-6800
Fax 9045206801

Authorized person

Name MEAGHAN COLLEEN LUTZ
Role CFO
Phone 9045206800

Taxonomy

Taxonomy Code 332900000X - Non-Pharmacy Dispensing Site
Is Primary Yes

Agent

Name Role Address
TERK MITCHELL M Agent 7017 A C Skinner Parkway, JACKSONVILLE, FL, 32256

Manager

Name Role Address
Terk Mitchell Dr. Manager 7017 A C Skinner Parkway, JACKSONVILLE, FL, 32256
Cesaretti Jamie Dr. Manager 7017 A C Skinner Parkway, JACKSONVILLE, FL, 32256
West Christopher Dr. Manager 7017 A C Skinner Parkway, JACKSONVILLE, FL, 32256
Vashi Apoorva Dr. Manager 7017 A C Skinner Parkway, JACKSONVILLE, FL, 32256

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000020479 FLORIDA PHYSICIAN SPECIALISTS DBA DR. MORTEZA YAVARI ACTIVE 2022-01-25 2027-12-31 No data 3550 UNIVERSITY BLVD S #202, JACKSONVILLE, FL, 32216
G22000010214 FLORIDA PHYSICIAN SPECIALISTS DBA DR. MORTEZA YAVARI ACTIVE 2022-01-06 2027-12-31 No data 3550 UNIVERSITY BLVD S #202, JACKSONVILLE, FL, 32216
G21000164901 FLORIDA PHYSICIAN SPECIALISTS DBA MCIVER CLINIC ACTIVE 2021-12-13 2026-12-31 No data 710 LOMAX STREET, JACKSONVILLE, FL, 32204
G21000082788 FLORIDA PHYSICIAN SPECIALISTS LABORATORY SERVICES ACTIVE 2021-06-22 2026-12-31 No data 710 LOMAX STREET, JACKSONVILLE, FL, 32204
G21000070419 FLORIDA PHYSICIAN SPECIALISTS DBA KASRAEIAN UROLOGY ACTIVE 2021-05-24 2026-12-31 No data 7017 A C SKINNER PARKWAY, JACKSONVILLE, FL, 32256
G20000153010 FLORIDA PHYSICIAN SPECIALISTS DBA SOUTHPOINT CANCER CENTER ACTIVE 2020-12-02 2025-12-31 No data 7017 A C SKINNER PARKWAY, JACKSONVILLE, FL, 32256
G20000061900 FLORIDA PHYSICIAN SPECIALISTS DBA TERK ONCOLOGY ACTIVE 2020-06-03 2025-12-31 No data 7017 A C SKINNER PARKWAY, JACKSONVILLE, FL, 32256
G18000057212 ADVANCED PROSTATE CANCER INSTITUTE AT MCIVER CLINIC ACTIVE 2018-05-09 2028-12-31 No data 7017 A C SKINNER PARKWAY, JACKSONVILLE, FL, 32256
G13000106920 FLORIDA PHYSICIAN SPECIALISTS LLC D/B/A FPS RADIATION ONCOLOGY EXPIRED 2013-10-30 2018-12-31 No data 4501 SHIRLEY AVENUE, JACKSONVILLE, FL, 32210
G13000100109 KASRAEIAN UROLOGY DIVISION OF FPS EXPIRED 2013-10-09 2018-12-31 No data 6269 BEACH BLVD., SUITE 2, JACKSONVILLE, FL, 32216

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-04-22 7017 A C Skinner Parkway, JACKSONVILLE, FL 32256 No data
CHANGE OF MAILING ADDRESS 2014-04-22 7017 A C Skinner Parkway, JACKSONVILLE, FL 32256 No data
REGISTERED AGENT ADDRESS CHANGED 2014-04-22 7017 A C Skinner Parkway, JACKSONVILLE, FL 32256 No data

Documents

Name Date
ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2023-04-07
ANNUAL REPORT 2022-04-18
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-03
ANNUAL REPORT 2019-05-02
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-04-21

Date of last update: 02 Feb 2025

Sources: Florida Department of State