| 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. |
| 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 |
| 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 | |||||||||||||||||||||||||||
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| 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 |
| 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 |
| 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 |
| 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 | - |
| 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
