| Entity Name: | MAXCARE CLINIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Jan 2022 (3 years ago) |
| Document Number: | L22000020942 |
| FEI/EIN Number | 90-2032584 |
| Address: | 5547 NORMANDY BLVD, JACKSONVILLE, FL 32205 |
| Mail Address: | PO BOX 600914, JACKSONVILLE, FL 32260 |
| ZIP code: | 32205 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730833633 | 2022-02-09 | 2022-10-26 | PO BOX 600914, SAINT JOHNS, FL, 322600914, US | 5547 NORMANDY BLVD, JACKSONVILLE, FL, 322056246, US | |||||||||||||||||
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| Phone | +1 904-386-6785 |
Authorized person
| Name | ANKUR PARIKH |
| Role | OWNER |
| Phone | 9043866785 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PARIKH, ANKUR A | Agent | 5547 NORMANDY BLVD, JACKSONVILLE, FL 32205 |
| Name | Role | Address |
|---|---|---|
| PARIKH, ANKUR A | Manager | PO BOX 600914, JACKSONVILLE, FL 32260 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000098190 | MAXCARE CLINIC | ACTIVE | 2022-08-19 | 2027-12-31 | No data | PO BOX 600914, JACKSONVILLE, FL, 32260 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-20 |
| ANNUAL REPORT | 2023-01-05 |
| Florida Limited Liability | 2022-01-04 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
