| Entity Name: | AJK MED, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Feb 2015 (10 years ago) |
| Document Number: | L15000020045 |
| FEI/EIN Number | 472155524 |
| Address: | 245 NE 5TH ST, BOCA RATON, FL, 33432, US |
| Mail Address: | 228 PARK AVE S #14773, NEW YORK, NY, 10003-1502, US |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578968251 | 2014-10-24 | 2014-10-24 | 1504 BAY RD APT 3101, MIAMI BEACH, FL, 331393280, US | 1504 BAY RD APT 3101, MIAMI BEACH, FL, 331393280, US | |||||||||||||||||
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| Phone | +1 646-623-1020 |
Authorized person
| Name | DR. AVERY JENNINGS KNAPP JR. |
| Role | CEO |
| Phone | 6466231020 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE NPI |
| Number | 1255594289 |
| Name | Role | Address |
|---|---|---|
| Rosenthal Joseph | Agent | 245 NE 5TH ST, Boca Raton, FL, 33432 |
| Name | Role | Address |
|---|---|---|
| Knapp Avery JJr. | Authorized Member | 524 Calle Tintillo, Guaynabo, PR, 009661667 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-01-15 | Rosenthal, Joseph | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-15 | 245 NE 5TH ST, Boca Raton, FL 33432 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-08-19 | 245 NE 5TH ST, BOCA RATON, FL 33432 | No data |
| CHANGE OF MAILING ADDRESS | 2019-08-19 | 245 NE 5TH ST, BOCA RATON, FL 33432 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-01-07 |
| ANNUAL REPORT | 2018-01-29 |
| ANNUAL REPORT | 2017-02-01 |
| ANNUAL REPORT | 2016-04-15 |
| Florida Limited Liability | 2015-02-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
