| Entity Name: | JAWAN AYER MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Feb 2005 (20 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 17 Jun 2022 (3 years ago) |
| Document Number: | L05000011484 |
| FEI/EIN Number | 202280890 |
| Address: | 800 W MARTIN LUTHER KING JR BLVD, TAMPA, FL, 33603, US |
| Mail Address: | 5470 EAST BUSCH BLVD PMB 405, TEMPLE TERRACE, FL, 33617 |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962622134 | 2007-04-27 | 2023-12-20 | 5470 EAST BUSCH BLVD PMB 405, TEMPLE TERRACE, FL, 33617, US | 800 W DR MARTIN LUTHER KING JR BLVD, STE4, TAMPA, FL, 336033320, US | |||||||||||||||||||||||||||
|
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| Phone | +1 813-910-8700 |
| Fax | 8139783070 |
Authorized person
| Name | DR. JAWAN C AYER |
| Role | OWNER |
| Phone | 8139108700 |
Taxonomy
| Taxonomy Code | 202D00000X - Integrative Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RB0002X - Obesity Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RH0003X - Hematology & Oncology Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AYER JAWAN C | Agent | 800 W Martin Luther King Jr Blvd Ste 4, Tampa, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| COLE James C | Auth | 305 S. Riverhills Dr., TEMPLE TERRACE, FL, 33617 |
| Name | Role | Address |
|---|---|---|
| COLE JAYLIN | Authorized Member | 305 S. RIVERHILLS DR, TEMPLE TERRACE, FL, 33617 |
| Name | Role | Address |
|---|---|---|
| AYER JAWAN MD | Manager | 305 S. RIVERHILLS DR, TEMPLE TERRACE, FL, 33617 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000067111 | FLORIDA WEIGHT LOSS AND WELLNESS CLINIC | ACTIVE | 2023-05-31 | 2028-12-31 | No data | 800 W. MARTIN LUTHER KING BLVD UNIT 4, TAMPA, FL, 33603 |
| G23000007807 | FLORIDA SICKLE CELL CARE | ACTIVE | 2023-01-17 | 2028-12-31 | No data | 800 W. MARTIN LUTHER KING UNIT 4, TAMPA, FL, 33603 |
| G22000071392 | CENTRATL TAMPA HEMATOLOGY,ONCOLOGY AND SICKLE CELL CENTER | ACTIVE | 2022-06-12 | 2027-12-31 | No data | 5470 EST BUSCH BLVD PMB 405, TEMPLE TERRACE, FL, 33617 |
| G20000034848 | FLORIDA SICKLE CELL CENTER | ACTIVE | 2020-03-23 | 2025-12-31 | No data | 5470 E. BUSCH BLVD PMB 405, TEMPLE TERRACE, FL, 33617 |
| G12000049445 | ST. PETERSBURG HEMATOLOGY AND ONCOLOGY ASSOCIATES | EXPIRED | 2012-05-30 | 2017-12-31 | No data | 5470 EAST BUSCH BLVD PMB 405, TAMPA, FL, 33617 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-30 | AYER, JAWAN C | No data |
| LC AMENDMENT AND NAME CHANGE | 2022-06-17 | JAWAN AYER MD, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-28 | 800 W Martin Luther King Jr Blvd Ste 4, Tampa, FL 33603 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-28 | 800 W MARTIN LUTHER KING JR BLVD, # 4, TAMPA, FL 33603 | No data |
| LC NAME CHANGE | 2010-01-07 | JAWAN AYER-COLE, MD, LLC | No data |
| CHANGE OF MAILING ADDRESS | 2008-11-03 | 800 W MARTIN LUTHER KING JR BLVD, # 4, TAMPA, FL 33603 | No data |
| CANCEL ADM DISS/REV | 2008-11-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-30 |
| LC Amendment and Name Change | 2022-06-17 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-04-13 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-03-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
