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OBGYN SPECIALISTS OF NORTH FLORIDA LLC - Florida Company Profile

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Company Details

Entity Name: OBGYN SPECIALISTS OF NORTH FLORIDA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Aug 2024 (a year ago)
Last Event: LC AMENDMENT
Event Date Filed: 02 Dec 2024 (8 months ago)
Document Number: L24000375566
FEI/EIN Number 99-4723125
Address: 111 NATURE WALK PKWY, UNIT 107, ST AUGUSTINE, FL, 32092, US
Mail Address: 111 NATURE WALK PKWY, UNIT 107, ST AUGUSTINE, FL, 32092, US
ZIP code: 32092
City: Saint Augustine
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FOUAD LINA S Manager 111 NATURE WALK PKWY, ST AUGUSTINE, FL, 32092
- Agent -

National Provider Identifier

NPI Number:
1962223610
Certification Date:
2024-11-21

Authorized Person:

Name:
LINA FOUAD
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-28 111 NATURE WALK PKWY, UNIT 107, ST AUGUSTINE, FL 32092 -
CHANGE OF MAILING ADDRESS 2025-01-28 111 NATURE WALK PKWY, UNIT 107, ST AUGUSTINE, FL 32092 -
LC AMENDMENT 2024-12-02 - -

Documents

Name Date
ANNUAL REPORT 2025-01-28
LC Amendment 2024-12-02
Florida Limited Liability 2024-08-27

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Date of last update: 02 Aug 2025

Sources: Florida Department of State