| Entity Name: | MEDSTAR CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
MEDSTAR CLINIC, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 28 Nov 2023 (a year ago) |
| Document Number: | L23000525453 |
| FEI/EIN Number |
93-4625263
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4320 DEERWOOD LAKE PKWY, STE. 101-507, JACKSONVILLE, FL 32216 |
| Mail Address: | P.O. Box 550750, JACKSONVILLE, FL 32255 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528809373 | 2024-06-05 | 2024-10-28 | PO BOX 550750, JACKSONVILLE, FL, 322550750, US | 6817 SOUTHPOINT PKWY STE 1302, JACKSONVILLE, FL, 322166297, US | |||||||||||||||||||||||
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| Phone | +1 904-902-0091 |
| Fax | 9046005299 |
Authorized person
| Name | VIRAL ACHARYA |
| Role | AUTHORIZED OFFICIAL |
| Phone | 9049020091 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| COGENCY GLOBAL INC. | Agent | - |
| MOHAMED ELSAYED SHAALAN, M.D. | Manager | 4320 DEERWOOD LAKE PKWY, STE. 101-507, JACKSONVILLE, FL 32216 |
| Acharya, Viral | Manager | 4320 DEERWOOD LAKE PKWY, STE. 101-507, JACKSONVILLE, FL 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-09-30 | 4320 DEERWOOD LAKE PKWY, STE. 101-507, JACKSONVILLE, FL 32216 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
