| Entity Name: | JEMM MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 Jan 2013 (12 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L13000006155 |
| FEI/EIN Number | 80-0894838 |
| Address: | 2801 N Flagler Drive, West Palm Beach, FL, 33407, US |
| Mail Address: | 2801 N Flagler Drive, West Palm Beach, FL, 33407, US |
| ZIP code: | 33407 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497187108 | 2013-08-05 | 2014-07-28 | PO BOX 8678, WEST PALM BEACH, FL, 334070678, US | 300 BUTLER ST, WEST PALM BEACH, FL, 334076006, US | |||||||||||||||||
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| Phone | +1 954-746-8232 |
| Fax | 9547468231 |
| Fax | 9547468232 |
Authorized person
| Name | THERESA SMITH |
| Role | BILLING OFFICE |
| Phone | 9547468232 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Kairalla Mark D | Agent | 360 Columbia Drive, West Palm Beach, FL, 33409 |
| Name | Role | Address |
|---|---|---|
| Rapp Amelia M | Manager | 218 35th Street, West Palm Beach, FL, 33407 |
| Simone Jennifer | Manager | P.O. Box 663, Amawalk, NY, 10501 |
| Name | Role | Address |
|---|---|---|
| Garrett Lyn | Chief Executive Officer | 2801 N Flagler Drive, West Palm Beach, FL, 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-12-02 | Kairalla, Mark D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-12-02 | 360 Columbia Drive, Suite 100, West Palm Beach, FL 33409 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-11 | 2801 N Flagler Drive, West Palm Beach, FL 33407 | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-11 | 2801 N Flagler Drive, West Palm Beach, FL 33407 | No data |
| LC AMENDMENT | 2013-02-13 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2016-12-02 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-03-11 |
| AMENDED ANNUAL REPORT | 2014-08-13 |
| ANNUAL REPORT | 2014-01-16 |
| LC Amendment | 2013-02-13 |
| Florida Limited Liability | 2013-01-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
