| Entity Name: | JACKSONVILLE PEDIATRIC ENDOCRINOLOGY CLINIC, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 Mar 2017 (8 years ago) |
| Date of dissolution: | 17 Jul 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Jul 2020 (5 years ago) |
| Document Number: | L17000056572 |
| Address: | 13842 HARBOR CREEK PLACE, JACKSONVILLE, FL, 32224, US |
| Mail Address: | 13842 HARBOR CREEK PLACE, JACKSONVILLE, FL, 32224, US |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114458916 | 2017-03-23 | 2017-03-27 | 13842 HARBOR CREEK PL, JACKSONVILLE, FL, 322246895, US | 9191 R G SKINNER PKWY, JACKSONVILLE, FL, 322569655, US | |||||||||||||
|
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| Phone | +1 904-388-3351 |
Authorized person
| Name | DR. REHAM HASAN |
| Role | OWNER |
| Phone | 9043883351 |
Taxonomy
| Taxonomy Code | 2080P0205X - Pediatric Endocrinology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HASAN REHAN | Authorized Member | 13842 HARBOR CREEK PLACE, JACKSONVILLE, FL, 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-07-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2020-10-22 |
| VOLUNTARY DISSOLUTION | 2020-07-17 |
| Florida Limited Liability | 2017-03-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
