| Entity Name: | JOHN-PAUL PHAM, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Oct 2017 (7 years ago) |
| Document Number: | L17000219900 |
| FEI/EIN Number | 82-3235514 |
| Address: | 4141 Southpoint Drive East, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 4141 Southpoint Drive East, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154802833 | 2018-08-22 | 2019-09-13 | 4141 SOUTHPOINT DR E STE D, JACKSONVILLE, FL, 322168061, US | 4141 SOUTHPOINT DRIVE EAST, SUITE D, JACKSONVILLE, FL, 32216, US | |||||||||||||||||||
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| Phone | +1 904-513-3179 |
| Fax | 9043371641 |
Authorized person
| Name | DR. JOHN-PAUL PHAM |
| Role | M.D - OWNER |
| Phone | 9045133179 |
Taxonomy
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| License Number | ME107417 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PHAM JOHN-PAUL Dr. | Agent | 4141 Southpoint Drive East, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| Tran Diem N | Manager | 4141 Southpoint Drive East, JACKSONVILLE, FL, 32216 |
| Lay Ileona | Manager | 4141 Southpoint Drive East, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| Pham John-Paul Dr. | President | 4141 Southpoint Drive East, JACKSONVILLE, FL, 32216 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000080501 | PHAM CARDIOVASCULAR CENTER | ACTIVE | 2018-07-26 | 2029-12-31 | No data | 4141 SOUTHPOINT DRIVE EAST, SUITE D, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-07-22 | 4141 Southpoint Drive East, Suite D, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2018-07-22 | 4141 Southpoint Drive East, Suite D, JACKSONVILLE, FL 32216 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-07-22 | PHAM, JOHN-PAUL, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-07-22 | 4141 Southpoint Drive East, Suite D, JACKSONVILLE, FL 32216 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-04-03 |
| ANNUAL REPORT | 2019-09-16 |
| ANNUAL REPORT | 2018-07-22 |
| Florida Limited Liability | 2017-10-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
