| Entity Name: | OBGYN SPECIALISTS OF NORTH FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Aug 2024 (5 months ago) |
| Document Number: | L24000375566 |
| Address: | 13241 BARTRAM PARK BOULEVARD, SUITE 809, JACKSONVILLE, FL, 32258 |
| Mail Address: | 13241 BARTRAM PARK BOULEVARD, SUITE 809, JACKSONVILLE, FL, 32258 |
| ZIP code: | 32258 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962223610 | 2024-10-24 | 2024-10-24 | 13241 BARTRAM PARK BLVD UNIT 809, JACKSONVILLE, FL, 322585216, US | 13241 BARTRAM PARK BLVD UNIT 809, JACKSONVILLE, FL, 322585216, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 904-800-7613 |
Authorized person
| Name | LINA FOUAD |
| Role | MD |
| Phone | 9048007613 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| TAYLOR ARRUBLA HARDWICK P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| FOUAD LINA S | Manager | 375 SAINT JOHNS GOLF DRIVE, ST. AUGUSTINE, FL, 32092 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-12-02 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
