| Entity Name: | JASPER MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
JASPER MEDICAL GROUP, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Oct 2013 (11 years ago) |
| Date of dissolution: | 07 Oct 2021 (3 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Oct 2021 (3 years ago) |
| Document Number: | L13000153072 |
| FEI/EIN Number |
NOT APPLICABLE
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067, US |
| Mail Address: | 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932539475 | 2013-11-20 | 2013-11-27 | 1150 US HIGHWAY 41 NW, SUITE 11 & 12, JASPER, FL, 320525888, US | 1150 US HIGHWAY 41 NW, SUITE 11 & 12, JASPER, FL, 320525888, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 239-552-3748 |
Authorized person
| Name | MS. STACI LUCIUS |
| Role | VICE PRESIDENT |
| Phone | 2395523575 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Hammons Kevin J | Manager | 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067 |
| Hingtgen Tim L | Manager | 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067 |
| Fordham Benjamin C | Manager | 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000121018 | HAMILTON PRIMARY CARE | EXPIRED | 2013-12-11 | 2018-12-31 | - | 1150 NW US41 NORTH, SUITE 11 AND 12, JASPER, FL, 32052 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2021-10-07 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-05-01 | 4000 MERIDIAN BLVD, FRANKLIN, TN 37067 | - |
| CHANGE OF MAILING ADDRESS | 2014-05-01 | 4000 MERIDIAN BLVD, FRANKLIN, TN 37067 | - |
| REGISTERED AGENT NAME CHANGED | 2014-02-25 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-25 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | - |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2021-10-07 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-05-03 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-21 |
| ANNUAL REPORT | 2014-05-01 |
| Reg. Agent Change | 2014-02-25 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
