| Entity Name: | PHYSICIANS ALIGNED, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Oct 2023 (a year ago) |
| Document Number: | L23000479993 |
| FEI/EIN Number | 93-4041641 |
| Address: | 3065 REVELS RD, GREEN COVE SPRINGS, FL, 32043 |
| Mail Address: | 3065 REVELS RD, GREEN COVE SPRINGS, FL, 32043 |
| ZIP code: | 32043 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215799481 | 2024-01-24 | 2024-02-06 | 1301 MONUMENT RD STE 19, JACKSONVILLE, FL, 322256462, US | 1301 MONUMENT RD STE 19, JACKSONVILLE, FL, 322256462, US | |||||||||||||||
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| Phone | +1 904-724-9334 |
| Fax | 9047253120 |
Authorized person
| Name | NATHAN ROGER PERRY JR. |
| Role | OWNER |
| Phone | 9043496779 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILLER JEREMY L | Agent | 3065 REVELS RD, GREEN COVE SPRINGS, FL, 32043 |
| Name | Role | Address |
|---|---|---|
| MILLER JEREMY | Manager | 3065 REVELS RD, GREEN COVE SPRINGS, FL, 32043 |
| Name | Role | Address |
|---|---|---|
| PERRY NATHAN DR | Member | 3065 REVELS RD, GREEN COVE SPRINGS, FL, 32043 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-11 |
| Florida Limited Liability | 2023-10-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
