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NEPHROLOGY CONSULTANTS OF JAX, LLC

Company Details

Entity Name: NEPHROLOGY CONSULTANTS OF JAX, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 21 May 2024 (9 months ago)
Document Number: L24000226685
Address: 3129 HENDRICKS AVE., SUITE 2, JACKSONVILLE, FL 32207
Mail Address: 3129 HENDRICKS AVE., SUITE 2, JACKSONVILLE, FL 32207
ZIP code: 32207
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306687439 2024-06-03 2024-06-05 3129 HENDRICKS AVE STE 2, JACKSONVILLE, FL, 322074217, US 3129 HENDRICKS AVE STE 2, JACKSONVILLE, FL, 322074217, US

Contacts

Phone +1 904-398-8266
Fax 9043964803

Authorized person

Name HARITHA SAKHAMURI
Role MEMBER/AUTHORIZED OFFICIAL
Phone 9048913316

Taxonomy

Taxonomy Code 207RN0300X - Nephrology Physician
Is Primary Yes

Agent

Name Role
COGENCY GLOBAL INC. Agent

Manager

Name Role Address
SAKHAMURI, M.D, HARITHA Manager 3129 HENDRICKS AVE., SUITE 2, JACKSONVILLE, FL 32207

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000068325 NEPHROLOGY CONSULTANTS OF JACKSONVILLE ACTIVE 2024-05-28 2029-12-31 No data 3129 HENDRICKS AVE., SUITE 2, JACKSONVILLE, FL, 32207

Documents

Name Date
Florida Limited Liability 2024-05-21

Date of last update: 08 Feb 2025

Sources: Florida Department of State