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TRUCARE NON EMERGENCY MEDICAL TRANSPORTATION OF JAX, LLC - Florida Company Profile

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Company Details

Entity Name: TRUCARE NON EMERGENCY MEDICAL TRANSPORTATION OF JAX, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Mar 2023 (2 years ago)
Document Number: L23000150820
FEI/EIN Number 923322195
Mail Address: 7643 Gate Pkwy, JACKSONVILLE, FL, 32256, US
Address: 5199 Oak Bend Ave, Jacksonville, FL, 32257, US
ZIP code: 32257
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FOWLER CHERYL Chief Executive Officer 5199 Oak Bend Ave, Jacksonville, FL, 32257
Fowler Wayne Chief Operating Officer 5199 Oak Bend Ave, Jacksonville, FL, 32257
FOWLER WAYNE Agent 7643 Gate Pkwy, Ste 104-352, JACKSONVILLE, FL, 32256

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
CHERYL FOWLER
Ownership and Self-Certifications:
Black American, Other Minority Owned, Self-Certified Small Disadvantaged Business, Women-Owned Small Business, Woman Owned
User ID:
P3294053

Unique Entity ID

Unique Entity ID:
ERLMZHT9K767
CAGE Code:
9Y5R0
UEI Expiration Date:
2025-07-02

Business Information

Division Name:
TRUCARE NON EMERGENCY MEDICAL TRANSPORTATION OF JAX
Activation Date:
2024-07-05
Initial Registration Date:
2024-05-30

National Provider Identifier

NPI Number:
1750076402
Certification Date:
2024-12-27

Authorized Person:

Name:
CHERYL FOWLER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
343900000X - Non-emergency Medical Transport (VAN)
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-30 5199 Oak Bend Ave, Jacksonville, FL 32257 -
CHANGE OF MAILING ADDRESS 2023-07-27 5199 Oak Bend Ave, Jacksonville, FL 32257 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2024-03-07
Florida Limited Liability 2023-03-24

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Date of last update: 01 Aug 2025

Sources: Florida Department of State