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JACKSONVILLE HEALTH ALLIANCE, LLC - Florida Company Profile

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Company Details

Entity Name: JACKSONVILLE HEALTH ALLIANCE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 21 Jun 2019 (6 years ago)
Date of dissolution: 17 Feb 2023 (2 years ago)
Last Event: LC VOLUNTARY DISSOLUTION
Event Date Filed: 17 Feb 2023 (2 years ago)
Document Number: L19000156238
FEI/EIN Number 84-2182494
Address: 7011 A.C. SKINNER PARKWAY, STE. 160, JACKSONVILLE, FL, 32256, US
Mail Address: 7011 A.C. SKINNER PARKWAY, STE. 160, JACKSONVILLE, FL, 32256, US
ZIP code: 32256
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
KHATIB YAZAN M.D. Manager 7011 A.C. SKINNER PARKWAY, STE. 160, JACKSONVILLE, FL, 32256

National Provider Identifier

NPI Number:
1003468703

Authorized Person:

Name:
YAZAN KHATIB
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
No
Selected Taxonomy:
207RC0001X - Clinical Cardiac Electrophysiology Physician
Is Primary:
No
Selected Taxonomy:
207RI0011X - Interventional Cardiology Physician
Is Primary:
Yes

Contacts:

Fax:
9044932222

Events

Event Type Filed Date Value Description
LC VOLUNTARY DISSOLUTION 2023-02-17 - -
REGISTERED AGENT ADDRESS CHANGED 2020-06-26 8833 PERIMETER PARK BLVD., SUITE 1002, JACKSONVILLE, FL 32216 -

Documents

Name Date
LC Voluntary Dissolution 2023-02-17
ANNUAL REPORT 2022-04-18
ANNUAL REPORT 2021-04-20
ANNUAL REPORT 2020-07-20
Florida Limited Liability 2019-06-21

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Date of last update: 03 Jul 2025

Sources: Florida Department of State