Entity Name: | PULMONARY AND SLEEP MEDICINE OF CLAY, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 25 Jul 2023 (a year ago) |
Document Number: | L23000350258 |
FEI/EIN Number | 93-2827078 |
Address: | 400 College Dr, Unit 112, Middleburg, FL 32068 |
Mail Address: | 5000 US HWY 17 S, SUITE 18 #331, FLEMING ISLAND, FL 32003 |
ZIP code: | 32068 |
County: | Clay |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1760263495 | 2023-10-09 | 2023-10-09 | 5000 US HIGHWAY 17 STE 18, FLEMING ISLAND, FL, 320038250, US | 400 COLLEGE DR STE 112, MIDDLEBURG, FL, 320688524, US | |||||||||||||
|
Phone | +1 904-345-0325 |
Authorized person
Name | DR. MARGARET DAVIS HOVDA |
Role | MANAGING MEMBER |
Phone | 9043529557 |
Taxonomy
Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HOVDA, THEODORE J, III | Agent | 1543 S SHORE DR, FLEMING ISLAND, FL 32003 |
Name | Role | Address |
---|---|---|
HOVDA, MARGARET D | Authorized Member | 5000 US HWY 17 S, SUITE 18 #331, FLEMING ISLAND, FL 32003 |
GONZALEZ, SHEILA I | Authorized Member | 5000 US HWY 17 S, SUITE 18 #331, FLEMING ISLAND, FL 32003 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-02-05 | 400 College Dr, Unit 112, Middleburg, FL 32068 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-05 |
Florida Limited Liability | 2023-07-25 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State