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PULMONARY AND SLEEP MEDICINE OF CLAY, PLLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
HOVDA, THEODORE J, III Agent 1543 S SHORE DR, FLEMING ISLAND, FL 32003

Authorized Member

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

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-05 400 College Dr, Unit 112, Middleburg, FL 32068 No data

Documents

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