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ORTHO ONE JACKSONVILLE LLC

Company Details

Entity Name: ORTHO ONE JACKSONVILLE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 Oct 2018 (6 years ago)
Document Number: L18000240950
FEI/EIN Number 83-1219470
Address: 6100 KENNERLY RD, 202, JACKSONVILLE, FL, 32216
Mail Address: 6100 KENNERLY RD, 202, JACKSONVILLE, FL, 32216
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326647504 2020-10-20 2020-10-20 6100 KENNERLY RD STE 202, JACKSONVILLE, FL, 322164379, US 6100 KENNERLY RD STE 202, JACKSONVILLE, FL, 322164379, US

Contacts

Phone +1 904-619-3048
Fax 9046195753

Authorized person

Name MICHELLE ROGERS
Role PRACTICE ADMINISTRATOR
Phone 9046193048

Taxonomy

Taxonomy Code 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary Yes

Agent

Name Role Address
EL-BAHRI FADY A Agent 6100 KENNERLY RD, JACKSONVILLE, FL, 32216

Manager

Name Role Address
EL-BAHRI Fady A Manager 6100 KENNERLY RD, JACKSONVILLE, FL, 32216

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J21000417539 TERMINATED 1000000898096 DUVAL 2021-08-16 2031-08-18 $ 564.79 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825

Documents

Name Date
ANNUAL REPORT 2024-09-20
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-03-15
ANNUAL REPORT 2021-04-30
AMENDED ANNUAL REPORT 2020-12-16
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-05-01
Florida Limited Liability 2018-10-11

Date of last update: 01 Feb 2025

Sources: Florida Department of State