| Entity Name: | RFH JACKSONVILLE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Jan 2024 (a year ago) |
| Document Number: | L24000013903 |
| FEI/EIN Number | 99-0925409 |
| Address: | 4811 BEACH BOULEVARD, SUITE 300, JACKSONVILLE, FL 32207 |
| Mail Address: | 4811 BEACH BOULEVARD, SUITE 300, JACKSONVILLE, FL 32207 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316709272 | 2024-01-26 | 2024-10-29 | 10680 MEDLOCK BRIDGE RD STE 101, JOHNS CREEK, GA, 300978420, US | 4811 BEACH BLVD STE 300, JACKSONVILLE, FL, 322074867, US | |||||||||||||||
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| Phone | +1 470-292-3820 |
| Fax | 4702809511 |
Authorized person
| Name | MR. RANDALL L HAUPT |
| Role | EXECUTIVE VICE PRESIDENT, SGI |
| Phone | 4702923820 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FISH, JOHN | Agent | 4811 BEACH BOULEVARD, SUITE 300, JACKSONVILLE, FL 32207 |
| Name | Role | Address |
|---|---|---|
| FISH, JOHN | Manager | 4811 BEACH BOULEVARD, SUITE 300, JACKSONVILLE, FL 32207 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-04 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
