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JACKSONVILLE PHYSICAL MEDICINE LLC - Florida Company Profile

Company Details

Entity Name: JACKSONVILLE PHYSICAL MEDICINE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

JACKSONVILLE PHYSICAL MEDICINE 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 02 Nov 2012 (12 years ago)
Date of dissolution: 10 Aug 2024 (7 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 10 Aug 2024 (7 months ago)
Document Number: L12000139284
FEI/EIN Number 461313060

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 9010 R G Skinner Parkway, Jacksonville, FL, 32256, US
Mail Address: 9010 R G 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
1205174695 2013-01-21 2013-01-21 7860 GATE PKWY STE 106, JACKSONVILLE, FL, 322567280, US 7860 GATE PKWY STE 106, JACKSONVILLE, FL, 322567280, US

Contacts

Phone +1 904-619-2703
Fax 9046192837

Authorized person

Name DR. JEREMIAH W. CARLSON
Role OWNER
Phone 9046192703

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME88018
State FL
Is Primary Yes
Taxonomy Code 363L00000X - Nurse Practitioner
License Number ARNP9278608
State FL
Is Primary No

Key Officers & Management

Name Role Address
CARLSON JEREMIAH W Manager 9010 R G Skinner Parkway, Jacksonville, FL, 32256
CARLSON JEREMIAH W Agent 9010 R G Skinner Parkway, Jacksonville, FL, 32256

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000133116 ATHLETIC DRY NEEDLING ACTIVE 2023-10-30 2028-12-31 - 9010 R G SKINNER PARKWAY, JACKSONVILLE, FL, 32256
G21000093663 CARLSON FAMILY CARE ACTIVE 2021-07-17 2026-12-31 - 7860 GATE PARKWAY STE106, JACKSONVILLE, FL, 32256
G18000035675 BARGAIN CHASERS EXPIRED 2018-03-15 2023-12-31 - 221 GREENLEAF LAKES AVE, PONTE VEDRA, FL, 32081
G17000115380 ONLINE INSIGHT MARKETING EXPIRED 2017-10-19 2022-12-31 - 7860 GATE PARKWAY STE 106, JACKSONVILLE, FL, 32256

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-08-10 - -
CHANGE OF PRINCIPAL ADDRESS 2022-05-03 9010 R G Skinner Parkway, Jacksonville, FL 32256 -
CHANGE OF MAILING ADDRESS 2022-05-03 9010 R G Skinner Parkway, Jacksonville, FL 32256 -
REGISTERED AGENT ADDRESS CHANGED 2022-05-03 9010 R G Skinner Parkway, Jacksonville, FL 32256 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-08-10
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-05-03
ANNUAL REPORT 2021-02-18
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-02-22
ANNUAL REPORT 2017-02-05
ANNUAL REPORT 2016-05-01
ANNUAL REPORT 2015-02-22

Date of last update: 02 Mar 2025

Sources: Florida Department of State