| Entity Name: | FIRST COAST ORTHOPEDIC ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Aug 2020 (4 years ago) |
| Document Number: | L20000252130 |
| FEI/EIN Number | 85-2545864 |
| Address: | 11222 Strategy Court, jacksonville, FL, 32256, US |
| Mail Address: | 11222 Strategy Court, jacksonville, FL, 32256, US |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053005348 | 2023-06-08 | 2023-06-08 | 3701 WINDMOOR DR, JACKSONVILLE, FL, 322174240, US | 6067 KENNERLY RD, JACKSONVILLE, FL, 322164305, US | |||||||||||||||
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| Phone | +1 904-388-4712 |
| Phone | +1 904-731-3131 |
Authorized person
| Name | MR. HAISSAM BARAKAT |
| Role | CREDENTIALING |
| Phone | 9049626005 |
Taxonomy
| Taxonomy Code | 207RS0010X - Sports Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RIZK RALPH | Agent | 11222 Strategy Court, jacksonville, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| RIZK RALPH | Manager | 11222 Strategy Court, jacksonville, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-19 | 11222 Strategy Court, jacksonville, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-19 | 11222 Strategy Court, jacksonville, FL 32256 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-19 | RIZK, RALPH | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-19 | 11222 Strategy Court, jacksonville, FL 32256 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-04-11 |
| Florida Limited Liability | 2020-08-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
