| Entity Name: | SKILLED NURSING INFECTIOUS DISEASE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Aug 2023 (a year ago) |
| Document Number: | L23000380380 |
| FEI/EIN Number | 38-4281067 |
| Address: | 6817 SOUTHPOINT PKWY, #801, JACKSONVILLE, FL 32216 |
| Mail Address: | P O BOX 23338, JACKSONVILLE, FL 32241 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679350722 | 2023-09-12 | 2023-09-12 | PO BOX 23338, JACKSONVILLE, FL, 32241, US | 6817 SOUTHPOINT PARKWAY #801, JACKSONVILLE, FL, 32216, US | |||||||||||||||||
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| Phone | +1 904-673-5553 |
| Fax | 9046411017 |
| Phone | +1 904-537-3765 |
Authorized person
| Name | AMMALA CANTRELL |
| Role | OWNER/MANAGER |
| Phone | 9046735553 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CANTRELL, AMMALA, MD | Agent | 6817 SOUTHPOINT PKWY, #701, JACKSONVILLE, FL 32216 |
| Name | Role | Address |
|---|---|---|
| CANTRELL, AMMALA | Manager | 6817 SOUTHPOINT PKWY #701, JACKSONVILLE, FL 32216 |
| Name | Role | Address |
|---|---|---|
| PELLA, PABLO | Authorized Member | 6817 SOUTHPOINT PKWY #801, JACKSONVILLE, FL 32216 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-31 |
| Florida Limited Liability | 2023-08-14 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
