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JAMES M. GRIMES ORTHOPAEDICS, LLC

Company Details

Entity Name: JAMES M. GRIMES ORTHOPAEDICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 25 Oct 2021 (3 years ago)
Document Number: L21000464137
FEI/EIN Number 87-3305150
Address: 1301 Plantation Island Dr S Suite 106A, ST AUGUSTINE, FL 32080
Mail Address: P.O. BOX 2230, ST AUGUSTINE, FL 32085
ZIP code: 32080
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598424699 2021-12-16 2024-04-01 PO BOX 2230, ST AUGUSTINE, FL, 320852230, US 1301 PLANTATION ISLAND DR S STE 106A, ST AUGUSTINE, FL, 320803109, US

Contacts

Phone +1 904-824-4990
Fax 9048242226
Phone +1 904-814-8365
Fax 9042173224

Authorized person

Name JAMES M GRIMES
Role SOLE MEMBER
Phone 9048148365

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary No
Taxonomy Code 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary Yes

Agent

Name Role Address
GRIMES, JAMES M Agent 49 DOLPHIN DRIVE, ST AUGUSTINE, FL 32080

Manager

Name Role Address
GRIMES, JAMES M Manager 49 DOLPHIN DRIVE, ST AUGUSTINE, FL 32080

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000156904 JAMES M. GRIMES MD ORTHOPAEDICS ACTIVE 2022-12-20 2027-12-31 No data 52 TUSCAN WAY, SUITE 205-B, ST. AUGUSTINE, FL, 32092

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-10 1301 Plantation Island Dr S Suite 106A, ST AUGUSTINE, FL 32080 No data
CHANGE OF MAILING ADDRESS 2021-11-10 1301 Plantation Island Dr S Suite 106A, ST AUGUSTINE, FL 32080 No data

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-21
ANNUAL REPORT 2022-01-24
Florida Limited Liability 2021-10-25

Date of last update: 13 Jan 2025

Sources: Florida Department of State