Search icon

EMERGENCY MEDICAL SPECIALISTS OF JACKSONVILLE, PLLC - Florida Company Profile

Company Details

Entity Name: EMERGENCY MEDICAL SPECIALISTS OF JACKSONVILLE, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

EMERGENCY MEDICAL SPECIALISTS OF JACKSONVILLE, PLLC 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: 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: 09 Jul 2014 (11 years ago)
Last Event: CONVERSION
Event Date Filed: 09 Jul 2014 (11 years ago)
Document Number: L14000111368
FEI/EIN Number 59-1926199

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

Address: 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204, US
Mail Address: 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204, US
ZIP code: 32204
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538834866 2021-08-10 2021-08-10 PO BOX 863026, ORLANDO, FL, 328863026, US 1670 ST VINCENTS WAY, MIDDLEBURG, FL, 320688447, US

Contacts

Phone +1 904-308-7300

Authorized person

Name ANDREW S. VIHLEN
Role PRESIDENT
Phone 9043087300

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMSJ RETIREMENT PLAN 2023 591926199 2024-03-29 EMERGENCY MEDICAL SPECIALISTS OF JACKSONVILLE, PLLC 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9043088435
Plan sponsor’s address 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 322044748

Signature of

Role Plan administrator
Date 2024-03-29
Name of individual signing ANDREW VIHLEN, M.D.
Valid signature Filed with authorized/valid electronic signature
EMSJ RETIREMENT PLAN 2022 591926199 2023-09-13 EMERGENCY MEDICAL SPECIALISTS OF JACKSONVILLE, PLLC 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9043088435
Plan sponsor’s address 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 322044748

Signature of

Role Plan administrator
Date 2023-09-13
Name of individual signing ANDREW VIHLEN, M.D.
Valid signature Filed with authorized/valid electronic signature
EMSJ RETIREMENT PLAN 2021 591926199 2022-10-04 EMERGENCY MEDICAL SPECIALISTS OF JACKSONVILLE, PLLC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9043088435
Plan sponsor’s address 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 322044748

Signature of

Role Plan administrator
Date 2022-10-04
Name of individual signing ANDREW VIHLEN, M.D.
Valid signature Filed with authorized/valid electronic signature
EMSJ RETIREMENT PLAN 2016 591926199 2017-10-12 EMERGENCY MEDICAL SPECIALISTS OF JACKSONVILLE, PLLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9043088435
Plan sponsor’s address 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 322044748
EMSJ RETIREMENT PLAN 2015 591926199 2016-07-15 EMERGENCY MEDICAL SPECIALISTS OF JACKSONVILLE, PLLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 9043088435
Plan sponsor’s address 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 322044748

Key Officers & Management

Name Role Address
VIHLEN ANDREW President 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204
VIHLEN ANDREW Agent 1 SHIRCLIFF WAY, JACKSONVILLE, FL, 32204

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-03-11 VIHLEN, ANDREW -
CONVERSION 2014-07-09 - GEN-COR CONVERSION RESULT. THE CONVERTING ENTITY WAS GP1400000929 ORIGINALLY FILED ON 07/08/2014. CONVERSION NUMBER 900000142189

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-03-11
ANNUAL REPORT 2019-03-22
ANNUAL REPORT 2018-01-25
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-04-21

Date of last update: 03 Apr 2025

Sources: Florida Department of State