| Entity Name: | EAGLE ONE MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Jan 2018 (7 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 22 Feb 2018 (7 years ago) |
| Document Number: | P18000003510 |
| FEI/EIN Number | 823997337 |
| Address: | 644 CESERY BLVD, SUITE 101, JACKSONVILLE, FL, 32211, UN |
| Mail Address: | 644 CESERY BLVD, SUITE 101, JACKSONVILLE, FL, 32211, UN |
| ZIP code: | 32211 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215436548 | 2018-02-01 | 2018-02-01 | 644 CESERY BLVD STE 101, JACKSONVILLE, FL, 322117165, US | 644 CESERY BLVD STE 101, JACKSONVILLE, FL, 322117165, US | |||||||||||||||
|
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| Phone | +1 904-647-7150 |
| Fax | 9045512462 |
Authorized person
| Name | JOSEPH KELLY |
| Role | OWNER |
| Phone | 9046477150 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KELLY ELAYNA | Agent | 644 CESERY BLVD, JACKSONVILLE, FL, 32211 |
| Name | Role | Address |
|---|---|---|
| Kelly Joseph | President | 644 Cesery Blvd, Suite 101, Jacksonville, FL |
| Name | Role | Address |
|---|---|---|
| Kelly Elayna | Vice President | 644 Cesery Blvd, Suite 101, Jacksonville, FL, 32211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2018-02-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-02-22 | KELLY, ELAYNA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-02-14 |
| ANNUAL REPORT | 2019-04-26 |
| Amendment | 2018-02-22 |
| Domestic Profit | 2018-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
