| Entity Name: | CONCIERGE MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Mar 2021 (4 years ago) |
| Document Number: | L21000142054 |
| FEI/EIN Number | N/A |
| Mail Address: | PO BOX 330196, ATLANTIC BEACH, FL 32233 |
| Address: | 205 Zeagler Dr, STE 501, Palatka, FL 32177 |
| ZIP code: | 32177 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053082172 | 2021-09-28 | 2024-09-12 | PO BOX 330196, ATLANTIC BEACH, FL, 322330196, US | 2285 THE WOODS DR E, JACKSONVILLE, FL, 322464131, US | |||||||||||||
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| Phone | +1 904-419-8764 |
Authorized person
| Name | SATISH RAVI |
| Role | PRESIDENT |
| Phone | 3862276768 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAVI, SATISH | Agent | 1001 MAYPORT RD, # 330196, ATLANTIC BEACH, FL 32233 |
| Name | Role | Address |
|---|---|---|
| RAVI, SATISH | President | PO BOX 330196, ATLANTIC BEACH, FL 32233 |
| Name | Role | Address |
|---|---|---|
| RAVI, MALLESWARI | Authorized Representative | PO BOX 330196, ATLANTIC BEACH, FL 32233 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-10 | 205 Zeagler Dr, STE 501, Palatka, FL 32177 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-10 | RAVI, SATISH | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-07 | 1001 MAYPORT RD, # 330196, ATLANTIC BEACH, FL 32233 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-03-19 |
| ANNUAL REPORT | 2022-01-07 |
| Florida Limited Liability | 2021-03-26 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
