| Entity Name: | UF HEALTH ACO JACKSONVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Jun 2023 (2 years ago) |
| Document Number: | L23000281117 |
| FEI/EIN Number | 93-1841073 |
| Address: | 653-1 W. 8TH STREET, JACKSONVILLE, FL 32209 |
| Mail Address: | 653-1 W. 8TH STREET, JACKSONVILLE, FL 32209 |
| ZIP code: | 32209 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194409615 | 2023-06-14 | 2023-06-14 | PO BOX 44008, JACKSONVILLE, FL, 322314008, US | 653 W 8TH ST, JACKSONVILLE, FL, 322096511, US | |||||||||||||||
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| Phone | +1 904-244-9533 |
| Fax | 9042449501 |
Authorized person
| Name | MISS WENDEY C. LANDKROHN |
| Role | DIRECTOR |
| Phone | 9042443603 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| YOUNG, THOMAS WILLIAM, ESQ | Agent | 653-1 W. 8TH STREET, JACKSONVILLE, FL 32209 |
| Name | Role | Address |
|---|---|---|
| Kadambi, Pradeep | Chief Executive Officer | University of Florida Jacksonville Physicians, Inc., 653-1 W. 8th Street JACKSONVILLE, FL 32209 |
| Name | Role | Address |
|---|---|---|
| UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICI | Manager | 653-1 W. 8TH STREET, JACKSONVILLE, FL 32209 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-07 |
| ANNUAL REPORT | 2024-03-13 |
| Florida Limited Liability | 2023-06-09 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
