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DUVAL COUNTY ORTHOPEDIC ASSOCIATES LLC

Company Details

Entity Name: DUVAL COUNTY ORTHOPEDIC ASSOCIATES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Jan 2017 (8 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 04 Jan 2022 (3 years ago)
Document Number: L17000006913
FEI/EIN Number 81-4989561
Address: 4540 Southside Blvd, Building 202, Jacksonville, FL, 32216, US
Mail Address: 4540 Southside Blvd, Building 202, Jacksonville, FL, 32216, US
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124564919 2017-01-17 2017-01-17 3615 KENNESAW PL, MELBOURNE, FL, 329342903, US 1050 RIVERSIDE AVE, JACKSONVILLE, FL, 322044142, US

Contacts

Phone +1 954-818-3160
Phone +1 772-245-8397

Authorized person

Name JENEANE MARIE WAKULA
Role OFFICE MANAGER
Phone 7725469591

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number OS13758
State FL
Is Primary Yes

Agent

Name Role
JM MEDICAL GROUP, LLC Agent

Manager

Name Role
JM MEDICAL GROUP, LLC Manager
CSTS HEALTH SOLUTIONS, LLC Manager

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-05-04 4540 Southside Blvd, Building 202, Jacksonville, FL 32216 No data
CHANGE OF PRINCIPAL ADDRESS 2022-05-04 4540 Southside Blvd, Building 202, Jacksonville, FL 32216 No data
CHANGE OF MAILING ADDRESS 2022-05-04 4540 Southside Blvd, Building 202, Jacksonville, FL 32216 No data
LC AMENDMENT 2022-01-04 No data No data
REGISTERED AGENT NAME CHANGED 2020-06-24 JM Medical Group No data
LC AMENDMENT 2018-10-17 No data No data
LC AMENDMENT 2017-05-30 No data No data
LC AMENDMENT 2017-05-19 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-05-04
LC Amendment 2022-01-04
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-06-24
ANNUAL REPORT 2019-04-30
LC Amendment 2018-10-17
ANNUAL REPORT 2018-04-30
LC Amendment 2017-05-30

Date of last update: 01 Feb 2025

Sources: Florida Department of State