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FIRST COAST ORTHOPEDIC CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: FIRST COAST ORTHOPEDIC CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Sep 2017 (8 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 23 Oct 2019 (6 years ago)
Document Number: L17000196999
FEI/EIN Number 82-2929226
Address: 4035 Southpoint Boulevard, Jacksonville, FL, 32216, US
Mail Address: 4035 Southpoint Boulevard, Jacksonville, FL, 32216, US
ZIP code: 32216
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Duffy Gavan Manager 4035 Southpoint Boulevard, Jacksonville, FL, 32216
Acevedo Jorge Manager 4035 Southpoint Boulevard, Jacksonville, FL, 32216
Shreck Robert Manager 4035 Southpoint Boulevard, Jacksonville, FL, 32216
Barsoum Wael Manager 4035 Southpoint Boulevard, Jacksonville, FL, 32216
Lambert Nick Manager 4035 Southpoint Boulevard, Jacksonville, FL, 32216
CT CORPORATION SYSTEM Agent 1200 S PINE ISLAND RD, PLANTATION, FL, 33324

Central Index Key

CIK number:
0001756856
Phone:
205-545-2734

Latest Filings

Form type:
D
File number:
021-359728
Filing date:
2020-02-04
File:
Form type:
D
File number:
021-324172
Filing date:
2018-10-24
File:

National Provider Identifier

NPI Number:
1811546575
Certification Date:
2021-04-27

Authorized Person:

Name:
KASHONDRA SMITH
Role:
CHIEF ADMINISTRATIVE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000130825 FIRST COAST SURGERY CENTER ACTIVE 2018-12-11 2028-12-31 - 4035 SOUTHPOINT BOULEVARD, JACKSONVILLE, FL, 32216

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-20 4035 Southpoint Boulevard, Jacksonville, FL 32216 -
CHANGE OF MAILING ADDRESS 2024-03-20 4035 Southpoint Boulevard, Jacksonville, FL 32216 -
LC STMNT OF RA/RO CHG 2019-10-23 - -
REGISTERED AGENT NAME CHANGED 2019-10-23 CT CORPORATION SYSTEM -
REGISTERED AGENT ADDRESS CHANGED 2019-10-23 1200 S PINE ISLAND RD, PLANTATION, FL 33324 -

Documents

Name Date
ANNUAL REPORT 2024-03-20
ANNUAL REPORT 2023-04-22
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-05-25
CORLCRACHG 2019-10-23
ANNUAL REPORT 2019-03-23
ANNUAL REPORT 2018-09-13
Florida Limited Liability 2017-09-22

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Date of last update: 03 Jul 2025

Sources: Florida Department of State