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JACKSONVILLE PREMIER ORTHOPEDICS LLC

Company Details

Entity Name: JACKSONVILLE PREMIER ORTHOPEDICS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Oct 2023 (a year ago)
Document Number: L23000464626
FEI/EIN Number 93-3849131
Address: 11222 STRATEGY COURT, JACKSONVILLE, FL, 32256, US
Mail Address: 11222 STRATEGY COURT, JACKSONVILLE, FL, 32256, US
ZIP code: 32256
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649039074 2024-03-18 2024-03-18 11222 STRATEGY CT, JACKSONVILLE, FL, 322564091, US 6067 KENNERLY RD, JACKSONVILLE, FL, 322164305, US

Contacts

Phone +1 904-731-3131

Authorized person

Name DR. RALPH RIZK
Role PRESIDENT
Phone 9047313131

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
Is Primary Yes

Agent

Name Role Address
RIZK RALPH Agent 11222 STRATEGY COURT, JACKSONVILLE, FL, 32256

Manager

Name Role Address
RIZK RALPH Manager 11222 STRATEGY COURT, JACKSONVILLE, FL, 32256

Documents

Name Date
ANNUAL REPORT 2024-04-25
Florida Limited Liability 2023-10-09

Date of last update: 02 Feb 2025

Sources: Florida Department of State