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JASMINE WOMEN'S CENTER, OBSTETRICS & GYNECOLOGY, LLC

Company Details

Entity Name: JASMINE WOMEN'S CENTER, OBSTETRICS & GYNECOLOGY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 17 Dec 2012 (12 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L12000157158
FEI/EIN Number 46-1572742
Address: 1983 CENTRE POINTE BLVD, 104, TALLAHASSEE, FL, 32308, US
Mail Address: 2661 FENWOOD COURT, TALLAHASSEE, FL, 32303
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962741942 2013-02-11 2013-02-11 1983 CENTRE POINTE BLVD, SUITE 104, TALLAHASSEE, FL, 323087822, US 1983 CENTRE POINTE BLVD, SUITE 104, TALLAHASSEE, FL, 323087822, US

Contacts

Phone +1 850-210-0433

Authorized person

Name ACQUINONETTE NICOLE BRYANT
Role OWNER, PHYSICIAN
Phone 8502100433

Taxonomy

Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
Is Primary Yes

Agent

Name Role Address
BRYANT ACQUINONETTE N Agent 2661 FENWOOD COURT, TALLAHASSEE, FL, 32303

Manager

Name Role Address
BRYANT ACQUINONETTE N Manager 2661 FENWOOD COURT, TALLAHASSEE, FL, 32303

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2013-03-08 1983 CENTRE POINTE BLVD, 104, TALLAHASSEE, FL 32308 No data

Documents

Name Date
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-07-21
ANNUAL REPORT 2019-08-30
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-08-26
ANNUAL REPORT 2016-08-31
ANNUAL REPORT 2015-04-30
ANNUAL REPORT 2014-05-31
ANNUAL REPORT 2013-03-08
Florida Limited Liability 2012-12-17

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5686338601 2021-03-20 0491 PPS 1983 Centre Pointe Blvd Ste 104, Tallahassee, FL, 32308-7823
Loan Status Date 2022-10-19
Loan Status Charged Off
Loan Maturity in Months 37
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 17222
Loan Approval Amount (current) 17222
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tallahassee, LEON, FL, 32308-7823
Project Congressional District FL-02
Number of Employees 5
NAICS code 621111
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount -
Forgiveness Paid Date -

Date of last update: 03 Feb 2025

Sources: Florida Department of State