| Entity Name: | FINCA DE SAN JUAN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Apr 2021 (4 years ago) |
| Document Number: | L21000155588 |
| FEI/EIN Number | 86-3499357 |
| Address: | 4021 HALLIDAY LANE, JACKSONVILLE, FL 32207 |
| Mail Address: | 1254 MAYFAIR ROAD, JACKSONVILLE, FL 32207 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215718002 | 2023-10-09 | 2023-10-09 | 1370 13TH AVE S STE 218, JAX BCH, FL, 322503206, US | 1370 13TH AVE S STE 218, JAX BCH, FL, 322503206, US | |||||||||||||||
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| Phone | +1 904-853-6154 |
| Fax | 8775435924 |
Authorized person
| Name | RONDA CREWS |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 9048536154 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HEEKIN, ROBERT A, SR. | Agent | 1 SLEIMAN PARKWAY, SUITE 280, JACKSONVILLE, FL 32216 |
| Name | Role | Address |
|---|---|---|
| PULIDO, JUAN D | President | 1254 MAYFAIR ROAD, JACKSONVILLE, FL 32207 |
| Name | Role | Address |
|---|---|---|
| PULIDO, PAULA S | Vice President | 1254 MAYFAIR ROAD, JACKSONVILLE, FL 32207 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000084305 | ST. JOHNS HEALTH & WELLNESS | ACTIVE | 2023-07-18 | 2028-12-31 | No data | 1254 MAYFAIR ROAD, JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-05-10 | 4021 HALLIDAY LANE, JACKSONVILLE, FL 32207 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-10 | 4021 HALLIDAY LANE, JACKSONVILLE, FL 32207 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-04-10 |
| Florida Limited Liability | 2021-04-05 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
