| Entity Name: | YAZJI PEDIATRIC CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Sep 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 19 Dec 2018 (6 years ago) |
| Document Number: | L17000191350 |
| FEI/EIN Number | 82-2775118 |
| Address: | 4125 RACE TRACK ROAD,, SUITE 104, ST JOHNS, FL, 32259, US |
| Mail Address: | 8669 Mabel Drive, Jacksonville, FL, 32256, US |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518438936 | 2018-12-11 | 2019-07-03 | 8669 MABEL DR, JACKSONVILLE, FL, 322561948, US | 4125 RACE TRACK RD, SUITE NUMBER 104, SAINT JOHNS, FL, 32259, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 904-338-1004 |
Authorized person
| Name | DR. ANAS AL YAZJI |
| Role | MEDICAL DOCTOR |
| Phone | 9042226364 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AL YAZJI ANAS | Agent | 8669 MABEL DRIVE, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| AL YAZJI ANAS | Authorized Member | 8669 MABEL DRIVE, JACKSONVILLE, FL, 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000057059 | TUKA PEDIATRICS | ACTIVE | 2019-05-11 | 2029-12-31 | No data | 8669 MABEL DRIVE, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-06-13 | 4125 RACE TRACK ROAD,, SUITE 104, ST JOHNS, FL 32259 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-05-03 | 4125 RACE TRACK ROAD,, SUITE 104, ST JOHNS, FL 32259 | No data |
| REINSTATEMENT | 2018-12-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-12-19 | AL YAZJI, ANAS | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-02-07 |
| AMENDED ANNUAL REPORT | 2021-09-03 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-06-13 |
| REINSTATEMENT | 2018-12-19 |
| Florida Limited Liability | 2017-09-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
