| Entity Name: | NORTHEAST FLORIDA INTERNAL MEDICINE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Sep 1998 (26 years ago) |
| Document Number: | P98000083551 |
| FEI/EIN Number | 593534479 |
| Address: | 2065 Herschel St, JACKSONVILLE, FL, 32204, US |
| Mail Address: | 2065 Herschel St, JACKSONVILLE, FL, 32204, US |
| ZIP code: | 32204 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BLISSENBACH ELYSSA A | Agent | 2065 HERSCHEL STREET, JACKSONVILLE, FL, 32204 |
| Name | Role | Address |
|---|---|---|
| BLISSENBACH ELYSSA M | Manager | 2065 HERSCHEL STREET, JACKSONVILLE, FL, 32204 |
| Name | Role | Address |
|---|---|---|
| BLISSENBACH ELYSSA M | Director | 2065 HERSCHEL STREET, JACKSONVILLE, FL, 32204 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2009-06-17 | NORTHEAST FLORIDA INTERNAL MEDICINE, PA | No data |
| NAME CHANGE AMENDMENT | 1999-12-28 | ELYSSA BLISSENBACH, M.D., P.A. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
