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JLM NURSE PRACTITIONERS, LLC

Company Details

Entity Name: JLM NURSE PRACTITIONERS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 09 Jan 2012 (13 years ago)
Date of dissolution: 27 Sep 2013 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (11 years ago)
Document Number: L12000004324
Address: 2140 W 68 STREET, UNIT 300, HIALEAH, FL 33016
Mail Address: 2140 W 68 STREET, UNIT 300, HIALEAH, FL 33016
ZIP code: 33016
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508120973 2012-06-29 2012-06-29 2140 W 68TH ST, SUITE 300, HIALEAH, FL, 330161815, US 2140 W 68TH ST, SUITE 305, HIALEAH, FL, 330161815, US

Contacts

Phone +1 305-822-4107
Fax 7864972989

Authorized person

Name MR. JOSE LUIS MARTINEZ
Role MANAGER
Phone 3058224107

Taxonomy

Taxonomy Code 207RG0100X - Gastroenterology Physician
License Number ME0065252
State FL
Is Primary Yes

Agent

Name Role Address
MARTINEZ, JUAN CESQ. Agent 1221 BRICKELL AVENUE, SUITE 1600, MIAMI, FL 33131

Managing Member

Name Role Address
MARTINEZ, JOSE L Managing Member 102 CAMILO AVENUE, CORAL GABLES, FL 33134

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2012-04-05 2140 W 68 STREET, UNIT 300, HIALEAH, FL 33016 No data
CHANGE OF MAILING ADDRESS 2012-04-05 2140 W 68 STREET, UNIT 300, HIALEAH, FL 33016 No data

Documents

Name Date
Florida Limited Liability 2012-01-09

Date of last update: 23 Jan 2025

Sources: Florida Department of State