| Entity Name: | JAX VISITING MEDICAL PROVIDERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 Jan 2016 (9 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L16000007662 |
| FEI/EIN Number | 81-1114894 |
| Address: | 9957 MOORINGS DRIVE, SUITE 204, JACKSONVILLE, FL, 32257, US |
| Mail Address: | 1600 SHEFFIELD PARK COURT, JACKSONVILLE, FL, 32225, US |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679931372 | 2016-02-09 | 2016-02-09 | 1600 SHEFFIELD PARK CT, JACKSONVILLE, FL, 322252667, US | 9957 MOORINGS DR, 204, JACKSONVILLE, FL, 322572412, US | |||||||||||||||||||
|
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| Phone | +1 904-382-2608 |
| Fax | 9042219408 |
| Phone | +1 904-513-4947 |
| Fax | 9045134948 |
Authorized person
| Name | DR. LILIAN P OBRERO-GINES |
| Role | PHYSICIAN |
| Phone | 9045134947 |
Taxonomy
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GINES LILIAN ODR | Agent | 1600 SHEFFIELD PARK COURT, JACKSONVILLE, FL, 32225 |
| Name | Role | Address |
|---|---|---|
| GINES LILIAN ODR | Manager | 1600 SHEFFIELD PARK COURT, JACKSONVILLE, FL, 32225 |
| Name | Role | Address |
|---|---|---|
| GINES MAURO J | Auth | 1600 SHEFFIELD PARK COURT, JACKSONVILLE, FL, 32225 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-04 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-02-07 |
| Florida Limited Liability | 2016-01-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
