| Entity Name: | JACKSONVILLE INTEGRATIVE HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Sep 2020 (4 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 21 Sep 2020 (4 years ago) |
| Document Number: | L20000273097 |
| FEI/EIN Number | 85-3048807 |
| Address: | 13241 BARTRAM PARK BLVD., SUITE 2501, JACKSONVILLE, FL, 32258, US |
| Mail Address: | 13241 BARTRAM PARK BLVD., SUITE 2501, JACKSONVILLE, FL, 32258, US |
| ZIP code: | 32258 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861089062 | 2020-12-22 | 2021-09-30 | 13241 BARTRAM PARK BLVD UNIT 2501, JACKSONVILLE, FL, 322585218, US | 13241 BARTRAM PARK BLVD UNIT 2501, JACKSONVILLE, FL, 322585218, US | |||||||||||||||||||||
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| Phone | +1 904-621-4222 |
| Fax | 9042996001 |
| Phone | +1 904-299-6000 |
Authorized person
| Name | GABRIEL BUSQUETS |
| Role | OWNER |
| Phone | 9046214222 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BUSQUETS GABRIEL | Agent | 55 SE 2ND AVE - 1ST FLOOR, DELRAY BEACH, FL, 33444 |
| Name | Role | Address |
|---|---|---|
| BUSQUETS GABRIEL | Member | 13241 BARTRAM PARK BLVD. SUITE 2501, JACKSONVILLE, FL, 32258 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-04-19 | BUSQUETS, GABRIEL | No data |
| LC NAME CHANGE | 2020-09-21 | JACKSONVILLE INTEGRATIVE HEALTH, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-04-19 |
| LC Name Change | 2020-09-21 |
| Florida Limited Liability | 2020-09-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
