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JACKSONVILLE CONCIERGE MEDICINE, LLC - Florida Company Profile

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Company Details

Entity Name: JACKSONVILLE CONCIERGE MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Mar 2025 (6 months ago)
Document Number: L25000097944
Address: 5011 GATE PARKWAY BLDG 100, SUITE 100, JACKSONVILLE, FL, 32256, US
Mail Address: 5011 GATE PARKWAY BLDG 100, SUITE 100, JACKSONVILLE, FL, 32256, US
ZIP code: 32256
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
MIKALS KYLE Manager 5011 GATE PARKWAY BLDG 100, JACKSONVILLE, FL, 32256
MIKALS SAMANTHA Manager 5011 GATE PARKWAY BLDG 100, JACKSONVILLE, FL, 32256

National Provider Identifier

NPI Number:
1891681037
Certification Date:
2025-06-16

Authorized Person:

Name:
DR. KYLE MIKALS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

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Date of last update: 02 Aug 2025

Sources: Florida Department of State