| Entity Name: | JNS PHYSICIANS GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Jan 2021 (4 years ago) |
| Document Number: | L21000053369 |
| FEI/EIN Number | 46-5113534 |
| Mail Address: | 6353 ARGYLE FOREST BLVD., STE 1, JACKSONVILLE, FL, 32244, US |
| Address: | 6353 ARGYLE FOREST BLVD., STE 1, JACKSONVILLE, FL, 32244 |
| ZIP code: | 32244 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144609900 | 2015-05-27 | 2019-08-01 | PO BOX 627, ORANGE PARK, FL, 320670627, US | 1724 VILLAGE WAY STE B, ORANGE PARK, FL, 320735225, US | |||||||||||||||||||||||||
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| Phone | +1 904-476-5778 |
| Phone | +1 904-644-7034 |
Authorized person
| Name | DR. JOSEPH NASIM SALAMEH |
| Role | CEO |
| Phone | 9046447034 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH11115 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1811314008 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Salameh Jeannie | Agent | 11948 OLDFIELD POINT DRIVE, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| SALAMEH JOSEPH | Manager | 11948 OLDFIELD POINT DRIVE, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| Salameh Jeannie | Auth | 133 Woodfield Ln, Saint Johns, FL, 32259 |
| Salameh Jennifer | Auth | 4508 CINDERBED DRIVE, JACKSONVILLE, FL, 32257 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-06 | 6353 ARGYLE FOREST BLVD., STE 1, JACKSONVILLE, FL 32244 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-08 | Salameh, Jeannie | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-02-08 |
| Florida Limited Liability | 2021-01-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
