| Entity Name: | CARE ON CALL PEDIATRICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Jul 2024 (6 months ago) |
| Document Number: | L24000332074 |
| Address: | 466 CAPTIVA DR., PONTE VEDRA, FL, 32081, UN |
| Mail Address: | 466 CAPTIVA DR., PONTE VEDRA, FL, 32081, UN |
| ZIP code: | 32081 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780414144 | 2024-08-01 | 2024-08-01 | 466 CAPTIVA DR, PONTE VEDRA, FL, 320815072, US | 466 CAPTIVA DR, PONTE VEDRA, FL, 320815072, US | |||||||||||||||||
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| Phone | +1 561-843-7458 |
Authorized person
| Name | MR. JONATHAN SALAZAR |
| Role | MEMBER |
| Phone | 5618437458 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HARROD LAW, PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| SALAZAR JONATHAN A | Authorized Member | 466 CAPTIVA DR., PONTE VEDRA, FL, 32081 |
| Name | Role | Address |
|---|---|---|
| SALAZAR COURTNEY A | Authorized Person | 466 CAPTIVA DR., PONTE VEDRA, FL, 32081 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
