| Entity Name: | ALLIANCE PHYSICIAN GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Jun 2014 (11 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L14000087894 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 4600 TOUCHTON RD., BUILDING 100, SUITE 150, JACKSONVILLE, FL, 32246, UN |
| Mail Address: | 2431 THE WOODS DR E, JACKSONVILLE, FL, 32246, UN |
| ZIP code: | 32246 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104226158 | 2014-08-27 | 2014-08-27 | 855 SAINT JOHNS BLUFF RD N, SKY HARBOR, UNIT 703, JACKSONVILLE, FL, 322257309, US | 855 SAINT JOHNS BLUFF RD N, SKY HARBOR, UNIT 703, JACKSONVILLE, FL, 322257309, US | |||||||||||||||
|
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| Phone | +1 800-991-6508 |
Authorized person
| Name | ANDREW ERIKSEN |
| Role | DIRECTOR |
| Phone | 9047464664 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ERIKSEN ANDREW | Agent | 2431 THE WOODS DR E, JACKSONVILLE, FL, 32246 |
| Name | Role | Address |
|---|---|---|
| ERIKSEN ANDREW | Manager | 2431 THE WOODS DR E, JACKSONVILLE, FL, 32246 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-30 |
| Florida Limited Liability | 2014-06-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
