| Entity Name: | FLORIDA PHYSICIAN SPECIALISTS, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FLORIDA PHYSICIAN SPECIALISTS, LLC. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 13 Jul 2012 (13 years ago) |
| Document Number: | L12000091654 |
| FEI/EIN Number |
460772206
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 |
| 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 | |||||||||||||||
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| 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 |
| 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 |
| TERK MITCHELL M | Agent | 7017 A C Skinner Parkway, JACKSONVILLE, FL, 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G25000050243 | FPS RADIATION ONCOLOGY | ACTIVE | 2025-04-14 | 2030-12-31 | - | 7017 A C SKINNER PARKWAY, JACKSONVILLE, FL, 32256 |
| G22000020479 | FLORIDA PHYSICIAN SPECIALISTS DBA DR. MORTEZA YAVARI | ACTIVE | 2022-01-25 | 2027-12-31 | - | 3550 UNIVERSITY BLVD S #202, JACKSONVILLE, FL, 32216 |
| G22000010214 | FLORIDA PHYSICIAN SPECIALISTS DBA DR. MORTEZA YAVARI | ACTIVE | 2022-01-06 | 2027-12-31 | - | 3550 UNIVERSITY BLVD S #202, JACKSONVILLE, FL, 32216 |
| G21000164901 | FLORIDA PHYSICIAN SPECIALISTS DBA MCIVER CLINIC | ACTIVE | 2021-12-13 | 2026-12-31 | - | 710 LOMAX STREET, JACKSONVILLE, FL, 32204 |
| G21000082788 | FLORIDA PHYSICIAN SPECIALISTS LABORATORY SERVICES | ACTIVE | 2021-06-22 | 2026-12-31 | - | 710 LOMAX STREET, JACKSONVILLE, FL, 32204 |
| G21000070419 | FLORIDA PHYSICIAN SPECIALISTS DBA KASRAEIAN UROLOGY | ACTIVE | 2021-05-24 | 2026-12-31 | - | 7017 A C SKINNER PARKWAY, JACKSONVILLE, FL, 32256 |
| G20000153010 | FLORIDA PHYSICIAN SPECIALISTS DBA SOUTHPOINT CANCER CENTER | ACTIVE | 2020-12-02 | 2025-12-31 | - | 7017 A C SKINNER PARKWAY, JACKSONVILLE, FL, 32256 |
| G20000061900 | FLORIDA PHYSICIAN SPECIALISTS DBA TERK ONCOLOGY | ACTIVE | 2020-06-03 | 2025-12-31 | - | 7017 A C SKINNER PARKWAY, JACKSONVILLE, FL, 32256 |
| G18000057212 | ADVANCED PROSTATE CANCER INSTITUTE AT MCIVER CLINIC | ACTIVE | 2018-05-09 | 2028-12-31 | - | 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 | - | 4501 SHIRLEY AVENUE, JACKSONVILLE, FL, 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-22 | 7017 A C Skinner Parkway, JACKSONVILLE, FL 32256 | - |
| CHANGE OF MAILING ADDRESS | 2014-04-22 | 7017 A C Skinner Parkway, JACKSONVILLE, FL 32256 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-22 | 7017 A C Skinner Parkway, JACKSONVILLE, FL 32256 | - |
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9939857006 | 2020-04-09 | 0491 | PPP | 7017 A C SKINNER PKWY, JACKSONVILLE, FL, 32256-6932 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
