| Entity Name: | JACKSONVILLE NEPHROLOGY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Jun 2008 (17 years ago) |
| Document Number: | P08000058956 |
| FEI/EIN Number | 262846971 |
| Address: | 13241 BARTRAM PARK BLVD., JACKSONVILLE, FL, 32258, US |
| Mail Address: | 13241 BARTRAM PARK BLVD., JACKSONVILLE, FL, 32258, US |
| ZIP code: | 32258 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043468416 | 2008-08-28 | 2022-03-14 | 13241 BARTRAM PARK BLVD UNIT 301, JACKSONVILLE, FL, 322585236, US | 13241 BARTRAM PARK BLVD UNIT 301, JACKSONVILLE, FL, 322585236, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 904-260-9898 |
| Fax | 9042609891 |
Authorized person
| Name | DR. SANDEEP MUNJAL |
| Role | PRESIDENT |
| Phone | 9042609898 |
Taxonomy
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| License Number | ME91566 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MUNJAL SANDEEP | Agent | 13241 BARTRAM PARK BLVD., JACKSONVILLE, FL, 32258 |
| Name | Role | Address |
|---|---|---|
| MUNJAL SANDEEP | President | 13241 BARTRAM PARK BLVD., JACKSONVILLE, FL, 32258 |
| Name | Role | Address |
|---|---|---|
| Phillips Munjal Danae C | Manager | 13241 BARTRAM PARK BLVD., JACKSONVILLE, FL, 32258 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-21 | 13241 BARTRAM PARK BLVD., 1001, JACKSONVILLE, FL 32258 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-21 | 13241 BARTRAM PARK BLVD., 1001, JACKSONVILLE, FL 32258 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-21 | 13241 BARTRAM PARK BLVD., 1001, JACKSONVILLE, FL 32258 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-21 |
| ANNUAL REPORT | 2020-06-27 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-05-16 |
| ANNUAL REPORT | 2017-04-23 |
| ANNUAL REPORT | 2016-04-24 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
