| Entity Name: | RAQUEL S. WATKINS, MD, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 May 2016 (9 years ago) |
| Date of dissolution: | 02 Jun 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 Jun 2020 (5 years ago) |
| Document Number: | L16000103432 |
| FEI/EIN Number | 81-2775609 |
| Mail Address: | 1421 UNIVERSITY BOULEVARD WEST, JACKSONVILLE, FL, 32217, US |
| Address: | 13241 Bartram Park Blvd., Suite 2601, JACKSONVILLE, FL, 32258, US |
| ZIP code: | 32258 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902344427 | 2017-02-03 | 2017-02-03 | PO BOX 551109, JACKSONVILLE, FL, 322551109, US | 13241 BARTRAM PARK BLVD, SUITE 2601, JACKSONVILLE, FL, 322585212, US | |||||||||||||
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| Phone | +1 904-382-3298 |
Authorized person
| Name | RAQUEL WATKINS |
| Role | MEMBER |
| Phone | 9043823298 |
Taxonomy
| Taxonomy Code | 207K00000X - Allergy & Immunology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FAIRBANKS RANDAL C | Agent | 113 NATURE WALK PARKWAY, ST. AUGUSTINE, FL, 32092 |
| Name | Role | Address |
|---|---|---|
| WATKINS RAQUEL SMD | Manager | 1421 UNIVERSITY BOULEVARD WEST, JACKSONVILLE, FL, 32217 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-02 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-15 | 13241 Bartram Park Blvd., Suite 2601, JACKSONVILLE, FL 32258 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-02 |
| ANNUAL REPORT | 2020-05-29 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-15 |
| Florida Limited Liability | 2016-05-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
