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ADVANCED PEDIATRIC CARE, PLLC

Company Details

Entity Name: ADVANCED PEDIATRIC CARE, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 19 May 2016 (9 years ago)
Document Number: L16000095834
FEI/EIN Number 81-2768859
Address: 943 CESERY BLVD., BUILDING G, JACKSONVILLE, FL 32211
Mail Address: 943 CESERY BLVD., BUILDING G, JACKSONVILLE, FL 32211
ZIP code: 32211
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619325784 2016-05-31 2022-03-15 943 CESERY BLVD BLDG G, JACKSONVILLE, FL, 32211, US 943 CESERY BLVD BLDG G, JACKSONVILLE, FL, 32211, US

Contacts

Phone +1 904-861-1330
Fax 9046000402

Authorized person

Name DR. NOORJAHAN ALI
Role OWNER
Phone 9048611330

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
License Number 126160
State FL
Is Primary Yes

Agent

Name Role Address
ALI, NOORJAHAN, M.D. Agent 943 CESERY BLVD., BUILDING G, JACKSONVILLE, FL 32211

Manager

Name Role Address
Ali, Noorjahan Manager 943 CESERY BLVD., BUILDING G JACKSONVILLE, FL 32211

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-02-05 943 CESERY BLVD., BUILDING G, JACKSONVILLE, FL 32211 No data
CHANGE OF PRINCIPAL ADDRESS 2018-08-23 943 CESERY BLVD., BUILDING G, JACKSONVILLE, FL 32211 No data
CHANGE OF MAILING ADDRESS 2018-08-23 943 CESERY BLVD., BUILDING G, JACKSONVILLE, FL 32211 No data

Documents

Name Date
ANNUAL REPORT 2025-01-17
ANNUAL REPORT 2024-01-14
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-01-03
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-05
ANNUAL REPORT 2018-04-15
ANNUAL REPORT 2017-04-26
Florida Limited Liability 2016-05-19

Date of last update: 19 Feb 2025

Sources: Florida Department of State