| Entity Name: | PHYSICIANS UNITED, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 22 Feb 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L16000036939 |
| Address: | 3065 REVELS ROAD, GREEN COVE SPRINGS, FL 32043 |
| Mail Address: | 3065 REVELS ROAD, GREEN COVE SPRINGS, FL 32043 |
| ZIP code: | 32043 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245684752 | 2016-04-20 | 2016-04-20 | 644 CESERY BLVD, SUITE 320, JACKSONVILLE, FL, 322117116, US | 644 CESERY BLVD, SUITE 320, JACKSONVILLE, FL, 322117116, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-370-3427 |
| Fax | 9042819806 |
Authorized person
| Name | MR. JEREMY P MILLER |
| Role | COO |
| Phone | 9043703427 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| Is Primary | No |
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| Is Primary | No |
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | No |
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 208800000X - Urology Physician |
| Is Primary | No |
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MILLER, JEREMY L | Agent | 3065 REVELS ROAD, GREEN COVE SPRINGS, FL 32043 |
| Name | Role | Address |
|---|---|---|
| MILLER, JEREMY L | Manager | 3065 REVELS ROAD, GREEN COVE SPRINGS, FL 32043 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2016-02-22 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
