| Entity Name: | INTERNAL MEDICINE ASSOCIATES OF JACKSONVILLE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Nov 2002 (22 years ago) |
| Document Number: | P02000118496 |
| FEI/EIN Number | 651161177 |
| Address: | 6320 SAINT AUGUSTINE ROAD, UNIT 12A & 12B, JACKSONVILLE, FL, 32217, US |
| Mail Address: | 6320 SAINT AUGUSTINE ROAD, UNIT 12A & 12B, JACKSONVILLE, FL, 32217, US |
| ZIP code: | 32217 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184614166 | 2005-10-21 | 2009-04-14 | 6320 SAINT AUGUSTINE RD, UNIT 12, JACKSONVILLE, FL, 322172800, US | 6320 SAINT AUGUSTINE RD, UNIT 12, JACKSONVILLE, FL, 322172800, US | |||||||||||||||||||
|
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| Phone | +1 904-737-6200 |
| Fax | 9047376001 |
Authorized person
| Name | DR. VADIM LEV MADFIS |
| Role | PRESIDENT |
| Phone | 9047376200 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NULAND CHRISTOPHER L | Agent | 1000 RIVERSIDE AVE., SUITE 115, JACKSONVILLE, FL, 32204 |
| Name | Role | Address |
|---|---|---|
| MADFIS VADIM L | President | 6320 SAINT AUGUSTINE ROAD UNIT 12, JACKSONVILLE, FL, 32217 |
| Name | Role | Address |
|---|---|---|
| MADFIS VADIM L | Director | 6320 SAINT AUGUSTINE ROAD UNIT 12, JACKSONVILLE, FL, 32217 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-02 | 6320 SAINT AUGUSTINE ROAD, UNIT 12A & 12B, JACKSONVILLE, FL 32217 | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-02 | 6320 SAINT AUGUSTINE ROAD, UNIT 12A & 12B, JACKSONVILLE, FL 32217 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-02 |
| ANNUAL REPORT | 2020-05-06 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-11 |
| ANNUAL REPORT | 2015-04-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
